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)
Wisconsin
Hospital Address Code Price Last Updated
Midwest Orthopedic Specialty Hospital, Llc 10101 S 27Th St, Franklin Q5107 $150 [source] 3 years ago
Orthopaedic Hospital Of Wisconsin 475 W River Woods Pkwy, Milwaukee Q5107 $213 [source] 3 years ago
Aurora Medical Center Bay Area 3003 University Dr, Marinette Q5107 $280 [source] 3 years ago
Aurora Sinai Medical Center 945 N 12Th St, Milwaukee Q5107 $332 [source] 3 years ago
Aurora Medical Center Of Manitowoc County 5000 Memorial Dr, Two Rivers Q5107 $333 [source] 3 years ago
Aurora St Luke's South Shore 5900 S Lake Dr, Cudahy Q5107 $336 [source] 3 years ago
Aurora St. Luke's Medical Center 2900 W Oklahoma Ave, Milwaukee Q5107 $337 [source] 3 years ago
Aurora West Allis Medical Center 8901 W Lincoln Ave, Milwaukee Q5107 $338 [source] 3 years ago
Aurora Baycare 1160 Kepler Dr, Green Bay Q5107 $345 [source] 3 years ago
Aurora Sheboygan Memorial Medical Center 2629 N 7Th St, Sheboygan Q5107 $363 [source] 3 years ago
Aurora Medical Center Of Oshkosh 855 N Westhaven Dr, Oshkosh Q5107 $407 [source] 3 years ago
Aurora Lakeland Medical Center W3930 County Road Nn, Elkhorn Q5107 $471 [source] 3 years ago
Aurora Medical Center Burlington 252 Mchenry St, Burlington Q5107 $472 [source] 3 years ago
Aurora Medical Center Grafton 975 Port Washington Road, Grafton Q5107 $490 [source] 3 years ago
Aurora Medical Center Summit 36500 Aurora Dr, Oconomowoc Q5107 $496 [source] 3 years ago
Aurora Medical Center Kenosha 10400 75Th St, Kenosha Q5107 $518 [source] 3 years ago
Aurora Medical Center Of Washington County 1032 E Sumner St, Hartford Q5107 $645 [source] 3 years ago
Chippewa Valley Hospital & Oakview Care Center, Inc. 1220 3Rd Ave W, Durand Q5107 $2,150 [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.