Avastin (bevacizumab)
Billing
Code: J9035
Description: Bevacizumab injection
Unit: 10 mg
Payment: $73.810
Pay quarter: Q4 2023
Dosage and Frequency
Neovascular (Wet) Age-Related Macular Degeneration (AMD)
1.25mg IVT every 4-6 weeks
1.25mg IVT every 4-6 weeks
Calculate drug reimbursement
Total Reimbursement:
$9.23(ASP: $8.70, Margin: $0.52)
Code:
J9035# Units to bill:
1Prior Authorization
Prior auth criteria for Avastin may include but is not limited to:
Insurance prior auth guidelines:
Billable NDCs
50242-0060-01
Avastin (GENENTECH, INC.)
100 MG
50242-0060-10
Avastin (GENENTECH, INC.)
1000 MG
50242-0061-01
Avastin (GENENTECH, INC.)
400 MG
50242-0061-10
Avastin (GENENTECH, INC.)
4000 MG
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