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J1414 - HCPCS Level II | Verity

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HCPCS Level IIdrugActive

J1414

Inj, beqvez, per tx dose

BETOS: O1E

Effective: 2025-01-01

Referenced in 1 policies

Description

Injection, fidanacogene elaparvovec-dzkt, per therapeutic dose

Drug Products

FDA-registered drug products mapped to this HCPCS code

BEQVEZ 4 SDV KIT

NDC: 00069-2004-04IV

Billing: EA

BEQVEZ 5 SDV KIT

NDC: 00069-2005-05IV

Billing: EA

BEQVEZ 6 SDV KIT

NDC: 00069-2006-06IV

Billing: EA

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Medicare Part B Drug Pricing

ASP-Based Payment

This drug code is paid under Medicare Part B using the Average Sales Price (ASP) + 6% methodology.

ASP pricing data not currently available for this code.

Coverage Policies

This code is referenced in 1 Medicare coverage policy

Sample Policies

ANTHEM-MED.00135PayerPolicycovered

MED.00135 Gene Therapy for Hemophilia

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About HCPCS Level II

Healthcare Common Procedure Coding System Level II codes for supplies, equipment, and non-physician services

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