Code: Q5107

Description:
Description: Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
MVASI BS 400 MG INJ
BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION
BEVACIZUMAB-AWWB (MVASI) 400MG/16ML JW
BEVACIZUMAB-AWWB (MVASI) 100 MG/4ML JW
BEVACIZUMAB-AWWB (MVASI) 100 MG/4ML VIAL
BEVACIZUMAB-AWWB (MVASI)400MG/16 ML VIAL
ONCO MVASI 400MG/16ML VIAL
BEVACIZUMAB+AC0-AWWB 10 MG(400 MG)
Inj mvasi 10 mg
Related codes:
Code: Q5101
ZARXIO BS 480 MCG INJ
Code: Q5102
Description: Injection, infliximab, biosimilar, 10 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q5103
INFLECTRA BS 10 MG INJ
Code: Q5104
RENFLEXIS BS 100 MG INJ
Code: Q5105
RETACRIT BS 100U ESRD
Code: Q5106
RETACRIT BS 3000U NESRD
Code: Q5108
FULPHILA BS 6 MG INJ
Code: Q5109
Description: Injection, infliximab-qbtx, biosimilar, (ixifi), 10 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)
Florida
Hospital Address Code Price Last Updated
Medical Center Of Trinity 9330 State Rd 54, New Port Richey Q5107 $61 [source] 3 years ago
Gulf Breeze Hospital 1110 Gulf Breeze Parkway, Gulf Breeze Q5107 $243 [source] 3 years ago
Baptist Hospital 1000 West Moreno St, Pensacola Q5107 $243 [source] 3 years ago
Jay Hospital 14114 Alabama Street, Jay Q5107 $384 [source] 3 years ago
Adventhealth Fish Memorial 1055 Saxon Blvd, Orange City Q5107 $1,329 [source] 3 years ago
Adventhealth Daytona Beach 301 Memorial Medical Pkwy, Daytona Beach Q5107 $1,622 [source] 3 years ago
Jfk Medical Center 5301 S Congress Ave, Lake Worth Q5107 $1,628 [source] 3 years ago
Adventhealth Sebring 4200 Sun N Lake Blvd, Sebring Q5107 $2,528 [source] 3 years ago
Adventhealth Wesley Chapel 1127 Bruce B. Downs Blvd, Zephyrhills Q5107 $2,798 [source] 3 years ago
Adventhealth East Orlando 12301 Lake Underhill Rd Suite 219, Orlando Q5107 $4,641 [source] 3 years ago
Adventhealth Deland 701 W. Plymouth Avenue, Deland Q5107 $5,309 [source] 3 years ago
Adventist Health System/Sunbelt, Inc. 4001 W Linebaugh Ave, Tampa Q5107 $5,342 [source] 3 years ago
Florida Hospital Carrollwood 7171 N Dale Mabry Hwy, Tampa Q5107 $5,342 [source] 3 years ago
Florida Hospital North Pinellas 1395 S Pinellas Ave, Tarpon Springs Q5107 $5,812 [source] 3 years ago
Adventhealth New Smyrna Beach 401 Palmetto St, New Smyrna Beach Q5107 $5,935 [source] 3 years ago
Mercy Miami Hospital 3663 S Miami Ave, Miami Q5107 $6,588 [source] 3 years ago
Adventhealth Lake Wales 410 South 11Th Street, Lake Wales Q5107 $6,981 [source] 3 years ago
Adventhealth Ocala 1500 Sw 1St Ave, Ocala Q5107 $6,981 [source] 3 years ago
Adventist Health System-Sunbelt Inc 2100 Ocoee Apopka Rd, Apopka Q5107 $8,439 [source] 3 years ago
Florida Oncology Network Pa 7727 Lake Underhill Rd, Orlando Q5107 $8,439 [source] 3 years ago
Adventhealth Kissimmee 2501 N. Orange Ave, Orlando Q5107 $8,439 [source] 3 years ago
Adventhealth Winter Park 3099 Aloma Ave, Winter Park Q5107 $8,439 [source] 3 years ago
Adventhealth Celebration 400 Celebration Place Attn: Pharmacare Center Pharmacy , Kissimmee Q5107 $8,439 [source] 3 years ago
Adventhealth Heart Of Florida 10987 Sheldon Rd Ste 100, Tampa Q5107 $10,475 [source] 3 years ago
Cleveland Clinic Florida - Weston 2950 Cleveland Clinic Boulevard, Fort Lauderdale Q5107 $13,021 [source] 3 years ago
Adventhealth Tampa 3100 E Fletcher Ave, Tampa Q5107 $16,925 [source] 3 years ago
Adventhealth Zephyrhills 7050 Gall Blvd, Zephyrhills Q5107 $19,561 [source] 3 years ago
Adventhealth Waterman 1000 Waterman Way, Tavares Q5107 $22,902 [source] 3 years ago
Kendall Regional Medical Center 11750 Sw 40 St, Miami Q5107 $24,226 [source] 3 years ago
Adventhealth Dade City 13100 Fort King Rd, Dade City Q5107 $30,109 [source] 3 years ago
Adventhealth Wauchula 735 S 5Th Ave, Wauchula Q5107 $41,522 [source] 3 years ago

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.