C9491 Injection, avelumab

Injection, avelumab, 10 mg

Payer policies and prior authorization for C9491

Payer coverage policies that name C9491

C9491 appears in 1 coverage policy from BlueCross BlueShield of South Carolina.

PayerPolicyRole in policyReviewedDocument
BlueCross BlueShield of South CarolinaAvelumab (Bavencio®) (CAM 180)listed, no stanceNov 1, 2025payer document

Medicaid fee-for-service

  • WY: $0.00 (professional), effective Oct 1, 2017

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.