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)
Tennessee
Hospital Address Code Price Last Updated
Saint Thomas Hickman Hospital 1518 Highway 100, Centerville Q5107 $134 [source] 3 years ago
Saint Thomas River Park Hospital, Llc 120 Walnut Commons Ln Ste D, Cookeville Q5107 $135 [source] 3 years ago
Ascension Saint Thomas Stones River 324 Doolittle Rd, Woodbury Q5107 $135 [source] 3 years ago
Ascension Saint Thomas Dekalb 520 W Main St, Smithville Q5107 $135 [source] 3 years ago
Ascension Saint Thomas Highlands 401 Sewell Dr, Sparta Q5107 $135 [source] 3 years ago
Starr Regional Medical Center - Athens 1114 West Madison Ave, Athens Q5107 $2,255 [source] 3 years ago
Starr Regional Medical Center - Etowah 886 Highway 411 North, Etowah Q5107 $2,255 [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.