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April 5, 2010 - Revised 07.01.11

ASC Drug Fee Schedule - 2nd Quarter 2010

HCPCS Code Status Indicator Amount
A9581 A $13.50
A9582 A $2,282.67
A9583 A $12.89
C9121 A $18.04
C9248 A $2.98
C9250 A $136.64
C9254 A $0.18
C9255 A $6.54
C9256 A $196.10
C9257 A $1.41
C9258 A $2.12
C9259 A $165.63
C9260 A $46.64
C9261 A $107.43
C9262 A $8.18
C9263 A $280.90
C9356 A $26.75
C9358 A $10.67
C9359 A $64.02
C9360 A $11.24
C9361 A $265.18
C9362 A $50.88
C9363 A $17.88
C9364 A $17.67
C9399 C $0.00
J0129 A $19.58
J0130 A $454.10
J0132 A $2.40
J0135 A $367.41
J0150 A $9.60
J0152 A $81.16
J0180 A $133.67
J0205 A $41.19
J0207 A $321.78
J0210 A $35.65
J0215 A $30.05
J0220 A $124.68
J0256 A $3.70
J0287 A $9.65
J0288 A $13.74
J0289 A $15.48
J0348 A $0.49
J0365 A $2.60
J0470 A $27.15
J0475 A $200.04
J0476 A $72.11
J0480 A $1,722.60
J0583 A $2.36
J0585 A $5.39
J0586 A $7.56
J0587 A $10.38
J0594 A $14.18
J0598 A $42.75
J0600 A $193.65
J0630 A $48.33
J0637 A $11.37
J0641 A $0.78
J0718 A $3.78
J0735 A $96.78
J0740 A $746.74
J0795 A $4.40
J0800 A $2,395.63
J0833 A $71.81
J0834 A $89.23
J0850 A $862.24
J0878 A $0.42
J0881 A $2.83
J0885 A $9.26
J0894 A $29.09
J0945 A $9.24
J1162 A $478.58
J1190 A $256.31
J1205 A $345.72
J1212 A $68.66
J1267 A $0.55
J1300 A $179.16
J1324 A $0.48
J1327 A $18.64
J1410 A $87.01
J1430 A $147.14
J1436 A $25.02
J1438 A $187.94
J1440 A $218.84
J1441 A $342.10
J1451 A $7.50
J1453 A $1.62
J1457 A $1.99
J1458 A $333.35
J1459 A $35.10
J1460 A $15.73
J1470 A $31.46
J1480 A $47.19
J1490 A $62.92
J1500 A $78.65
J1510 A $94.41
J1520 A $110.05
J1530 A $125.85
J1540 A $141.64
J1550 A $157.31
J1560 A $157.31
J1561 A $36.92
J1562 A $7.06
J1566 A $30.28
J1568 A $36.98
J1569 A $37.80
J1571 A $50.63
J1572 A $36.31
J1573 A $50.63
J1595 A $80.79
J1610 A $79.87
J1620 A $32.12
J1640 A $8.03
J1652 A $6.02
J1670 A $134.23
J1680 A $72.89
J1730 A $112.16
J1740 A $138.72
J1742 A $408.75
J1743 A $446.44
J1745 A $57.63
J1750 A $12.39
J1756 A $0.36
J1785 A $4.12
J1817 A $2.01
J1830 A $173.34
J1930 A $28.75
J1931 A $25.08
J1945 A $229.95
J1950 A $506.35
J1953 A $0.48
J2020 A $31.96
J2248 A $1.08
J2278 A $6.29
J2315 A $2.38
J2320 A $7.08
J2321 A $71.34
J2322 A $43.59
J2323 A $8.16
J2325 A $37.65
J2353 A $106.95
J2355 A $240.46
J2357 A $19.40
J2425 A $11.13
J2430 A $15.93
J2469 A $17.29
J2503 A $1,010.90
J2504 A $242.67
J2505 A $2,386.39
J2513 A $158.77
J2562 A $268.58
J2724 A $11.96
J2730 A $89.08
J2770 A $144.29
J2778 A $397.06
J2783 A $169.27
J2785 A $50.73
J2788 A $24.67
J2790 A $76.01
J2791 A $5.11
J2792 A $18.20
J2793 A $23.64
J2794 A $4.96
J2796 A $44.18
J2820 A $24.77
J2850 A $19.93
J2940 A $4.89
J2941 A $54.41
J2993 A $1,526.62
J2995 A $32.12
J2997 A $36.65
J3030 A $45.80
J3101 A $45.86
J3240 A $1,033.54
J3243 A $1.14
J3246 A $7.25
J3285 A $54.83
J3300 A $3.15
J3305 A $58.36
J3315 A $161.00
J3355 A $58.88
J3365 A $449.09
J3396 A $9.32
J3465 A $5.71
J3487 A $216.95
J3488 A $218.71
J7185 A $1.06
J7186 A $0.90
J7187 A $0.86
J7189 A $1.33
J7190 A $0.85
J7191 A $8.21
J7192 A $1.07
J7193 A $0.89
J7194 A $0.86
J7195 A $1.09
J7197 A $2.27
J7198 A $1.52
J7308 A $132.00
J7310 A $16,640.00
J7311 A $18,980.00
J7321 A $90.22
J7323 A $111.64
J7324 A $173.37
J7325 A $11.56
J7501 A $94.47
J7502 A $3.24
J7504 A $478.67
J7505 A $1,112.11
J7507 A $3.23
J7511 A $379.19
J7513 A $344.48
J7515 A $0.82
J7516 A $26.73
J7517 A $1.85
J7520 A $9.47
J7525 A $136.78
J8501 A $5.56
J8520 A $6.16
J8521 A $20.27
J8560 A $27.73
J8700 A $8.66
J8705 A $74.66
J9001 A $463.10
J9010 A $567.11
J9015 A $828.50
J9017 A $36.72
J9020 A $59.79
J9025 A $4.90
J9027 A $114.29
J9031 A $112.21
J9033 A $18.47
J9035 A $56.48
J9041 A $37.52
J9050 A $173.08
J9055 A $48.79
J9065 A $27.69
J9098 A $479.68
J9120 A $559.77
J9150 A $19.09
J9151 A $55.25
J9155 A $2.60
J9160 A $1,466.62
J9165 A $3.83
J9171 A $17.52
J9178 A $2.43
J9185 A $201.93
J9200 A $42.18
J9201 A $142.36
J9202 A $191.55
J9206 A $8.98
J9207 A $63.74
J9208 A $30.18
J9209 A $4.17
J9211 A $62.37
J9212 A $4.71
J9213 A $10.60
J9214 A $15.54
J9215 A $17.89
J9216 A $422.80
J9217 A $216.25
J9218 A $4.19
J9219 A $4,728.88
J9225 A $1,515.25
J9226 A $14,990.44
J9230 A $151.58
J9245 A $1,472.01
J9261 A $103.91
J9263 A $6.70
J9264 A $9.25
J9266 A $2,695.60
J9268 A $1,222.86
J9280 A $19.97
J9290 A $79.90
J9291 A $159.79
J9293 A $44.41
J9300 A $2,636.51
J9303 A $85.59
J9305 A $49.67
J9310 A $567.49
J9320 A $277.52
J9328 A $4.90
J9330 A $48.89
J9340 A $111.38
J9350 A $1,038.92
J9355 A $65.16
J9357 A $942.10
J9395 A $80.67
J9600 A $2,878.92
P9041 A $16.89
P9045 A $60.58
P9046 A $25.67
P9047 A $62.05
Q0138 A $0.82
Q0515 A $1.77
Q2004 A $5.11
Q2017 A $318.43
Q3025 A $190.27
Q4101 A $32.09
Q4102 A $4.53
Q4103 A $4.53
Q4104 A $14.56
Q4105 A $9.81
Q4106 A $39.34
Q4107 A $90.30
Q4108 A $17.65
Q4110 A $33.70
Q4111 A $7.26
Q4112 A $335.88
Q4113 A $335.88
Q4114 A $914.43
Q4115 A $7.20
Q4116 A $31.96
Q9968 A $1.79
90371 A $113.22
90375 A $137.11
90376 A $149.50
90378 A $510.69
90396 A $147.58
90476 A $72.17
90585 A $107.40
90665 A $0.93
90675 A $177.85
90676 A $96.27
90680 A $72.37
90681 A $100.57
90725 A $103.90
90733 A $101.46
90734 A $101.46
90735 A $100.15
90740 C $0.00
90743 C $0.00
90744 C $0.00
90746 C $0.00
90747 C $0.00

All CPT codes begin with a numeric character and all HCPCS codes begin with an alpha character.

All Current Procedural Terminology (CPT) codes and descriptors are copyrighted 2009 by the American Medical Association.

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