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Reimbursement and Coding for Biosimilars: How Billing Works Under Medicare Part B

Reimbursement and Coding for Biosimilars: How Billing Works Under Medicare Part B

Finnegan O'Sullivan Dec 29 0

Biosimilars are billed differently than generics under Medicare Part B. Each has its own HCPCS code and payment rate based on its ASP plus 6% of the reference product's price. This system affects provider choices, patient costs, and adoption rates.

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