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)
North Carolina
Hospital Address Code Price Last Updated
Frye Regional Medical Center 420 N. Center Street, Hickory Q5107 $63 [source] 3 years ago
Atrium Health Behavioral Health 501 Billingsley Road , Charlotte Q5107 $120 [source] 3 years ago
Atrium Health Anson 2301 Us Hwy 74 W. , Wadesboro Q5107 $120 [source] 3 years ago
Carolinas Medical Center 1000 Blythe Blvd. , Charlotte Q5107 $120 [source] 3 years ago
Atrium Health Cleveland 201 E. Grover St. , Shelby Q5107 $120 [source] 3 years ago
Atrium Health University 8800 N. Tryon St. , Charlotte Q5107 $120 [source] 3 years ago
Atrium Health Mercy 2001 Vail Ave. , Charlotte Q5107 $120 [source] 3 years ago
Atrium Health Union 600 Hospital Drive , Monroe Q5107 $120 [source] 3 years ago
Atrium Health Pineville 10628 Park Road , Charlotte Q5107 $120 [source] 3 years ago
Atrium Health Stanly 301 Yadkin St. , Albemarle Q5107 $120 [source] 3 years ago
Atrium Health Cabarrus 920 Church Street North , Concord Q5107 $120 [source] 3 years ago
Carolinas Rehabilitation 1100 Blythe Blvd. , Charlotte Q5107 $120 [source] 3 years ago
Cone Health Moses Cone Hospital 1121 North Church St Entrance A, Greensboro Q5107 $2,498 [source] 3 years ago
Adventhealth Hendersonville 100 Hospital Dr, Hendersonville Q5107 $3,782 [source] 3 years ago
Cone Health Wesley Long Hospital 2400 W Friendly Ave, Greensboro Q5107 $7,137 [source] 3 years ago
Moses Cone Hospital 1131D N Church St, Greensboro Q5107 $7,137 [source] 3 years ago
Cone Health Behavioral Health Hospital 700 Walter Reed Dr, Greensboro Q5107 $7,137 [source] 3 years ago
Cone Health Penn Nursing Center 618 S Main St, Reidsville Q5107 $7,137 [source] 3 years ago
Cone Health Alamance Regional Medical Center 1240 Huffman Mill Rd, Burlington Q5107 $7,137 [source] 3 years ago
Blue Ridge Regional Hospital 125 Hospital Dr, Spruce Pine Q5107 $17,061 [source] 3 years ago
Angel Medical Center 120 Riverview St, Franklin Q5107 $17,061 [source] 3 years ago
Mcdowell Hospital , Marion Q5107 $17,061 [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.