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HCPCS Details
HCPC | J1449 |
Short Description | Inj eflapegrastim-xnst 0.1mg |
Long Description | Injection, eflapegrastim-xnst, 0.1 mg |
Pricing indicator | 51 |
Coverage code | C |
ASC payment group code | YY |
BETOS2 code | O1E |
Action code | N |
Type of service | 1 |
Effective date | 2023-04-01 |
Date Added | 2023-04-01 |
HCPCS/NDC Cross-Walk
NDC | HCPC | Description | Drug Name | Labeler Name | HCPCS Dosage | PKG Size | PKG QTY | Bill Units | Bill Units PKG |
---|---|---|---|---|---|---|---|---|---|
76961010101 | J1449 | Inj eflapegrastim-xnst 0.1mg | ROLVEDON | Spectrum Pharmaceuticals, Inc. | 0.1 MG | 0.6 | 1 | 132 | 132 |