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July 5, 2011 - Revised: April 2012

July 2011 3rd QTR ASC Drug File

Effective 07.01.2011

HCPCS Code Status Indicator Amount
A9582 A $2641.16
A9583 A $12.71
C9121 A $20.23
C9248 A $6.09
C9250 A $123.09
C9254 A $0.16
C9257 A $1.52
C9270 A $37.92
C9272 A $14.51
C9274 A $2111.36
C9275 A $623.28
C9276 A $135.77
C9277 A $14.83
C9279 A $1.61
C9280 A $900.27
C9281 A $304.75
C9282 A $0.72
C9283 A $0.11
C9284 A $127.20
C9285 A $13.57
C9358 A $11.15
C9360 A $11.61
C9361 A $214.98
C9362 A $50.80
C9363 A $20.74
C9364 A $18.55
C9365 A $10.60
C9367 A $4.35
C9399 C $0.00
C9406 A $1908.00
J0129 A $20.72
J0130 A $523.82
J0132 A $2.70
J0135 A $404.24
J0152 A $94.43
J0180 A $139.85
J0205 A $41.59
J0207 A $311.24
J0210 A $39.83
J0215 A $36.02
J0220 A $157.34
J0256 A $3.83
J0287 A $8.53
J0288 A $13.87
J0289 A $15.27
J0348 A $1.39
J0475 A $195.37
J0476 A $74.30
J0480 A $2188.63
J0515 A $27.97
J0583 A $2.74
J0585 A $5.43
J0586 A $7.41
J0587 A $10.65
J0594 A $18.81
J0597 A $30.23
J0598 A $44.20
J0600 A $192.34
J0630 A $56.23
J0637 A $12.27
J0638 A $88.15
J0641 A $1.84
J0718 A $3.96
J0735 A $35.67
J0740 A $748.87
J0775 A $37.51
J0795 A $5.01
J0800 A $2540.30
J0833 A $100.72
J0834 A $69.10
J0850 A $956.43
J0878 A $0.48
J0881 A $3.09
J0885 A $9.73
J0894 A $32.18
J0945 A $7.50
J1162 A $613.79
J1190 A $246.32
J1205 A $275.72
J1212 A $84.55
J1290 A $275.28
J1300 A $188.16
J1327 A $22.19
J1410 A $104.20
J1430 A $288.75
J1438 A $206.19
J1440 A $247.03
J1441 A $389.56
J1451 A $7.65
J1453 A $1.76
J1457 A $2.03
J1458 A $345.37
J1459 A $34.72
J1460 A $19.59
J1559 A $7.22
J1560 A $195.87
J1561 A $37.32
J1562 A $7.18
J1566 A $30.79
J1568 A $56.34
J1569 A $37.69
J1571 A $54.66
J1572 A $35.30
J1573 A $54.66
J1595 A $109.17
J1610 A $93.26
J1640 A $10.27
J1670 A $255.16
J1680 A $72.92
J1730 A $1.04
J1740 A $149.78
J1742 A $124.00
J1743 A $450.74
J1745 A $60.10
J1750 A $11.66
J1756 A $0.34
J1786 A $41.59
J1830 A $199.75
J1930 A $30.96
J1931 A $26.58
J1945 A $302.29
J1950 A $593.38
J2020 A $34.65
J2170 A $22.20
J2248 A $1.02
J2278 A $6.54
J2315 A $2.80
J2320 A $9.27
J2323 A $10.51
J2325 A $46.48
J2353 A $117.02
J2355 A $242.25
J2357 A $20.87
J2358 A $2.73
J2425 A $11.60
J2426 A $6.69
J2469 A $17.69
J2503 A $1022.26
J2504 A $245.00
J2505 A $2628.28
J2510 A $12.16
J2513 A $12.85
J2562 A $276.96
J2700 A $2.58
J2724 A $12.94
J2730 A $89.38
J2770 A $171.28
J2778 A $400.48
J2783 A $187.00
J2785 A $51.72
J2788 A $30.00
J2790 A $85.37
J2791 A $5.13
J2792 A $18.16
J2793 A $23.86
J2794 A $5.11
J2796 A $45.69
J2805 A $75.26
J2820 A $24.41
J2850 A $27.23
J2941 A $60.89
J2993 A $1369.90
J2995 A $47.57
J2997 A $41.64
J3095 A $1.99
J3101 A $55.95
J3240 A $1043.80
J3243 A $1.31
J3246 A $9.72
J3262 A $3.47
J3285 A $60.66
J3300 A $3.45
J3310 A $30.91
J3315 A $209.09
J3350 A $82.18
J3355 A $65.39
J3357 A $117.21
J3365 A $453.41
J3385 A $349.91
J3396 A $9.75
J3465 A $6.15
J3487 A $222.68
J3488 A $220.55
J7185 A $1.05
J7186 A $0.91
J7187 A $0.87
J7189 A $1.53
J7190 A $0.88
J7191 A $1.17
J7192 A $1.09
J7193 A $0.89
J7194 A $0.92
J7195 A $1.15
J7196 A $102.38
J7197 A $2.66
J7198 A $1.62
J7308 A $149.88
J7309 A $73.53
J7310 A $16800.00
J7311 A $19162.50
J7312 A $195.99
J7321 A $88.49
J7323 A $135.86
J7324 A $167.40
J7325 A $11.98
J7335 A $25.55
J7501 A $107.39
J7504 A $565.84
J7505 A $1122.96
J7511 A $438.23
J7513 A $521.38
J7525 A $138.21
J8501 A $5.98
J8510 A $3.63
J8520 A $7.30
J8521 A $24.14
J8560 A $35.71
J8562 A $79.56
J8700 A $9.45
J8705 A $77.20
J9001 A $535.82
J9010 A $584.29
J9015 A $981.53
J9017 A $40.37
J9020 A $62.67
J9025 A $5.19
J9027 A $121.16
J9031 A $114.23
J9033 A $18.43
J9035 A $60.62
J9041 A $41.06
J9050 A $174.45
J9055 A $50.01
J9065 A $24.09
J9098 A $485.77
J9120 A $567.02
J9150 A $13.73
J9151 A $57.12
J9155 A $2.65
J9160 A $1601.12
J9171 A $19.43
J9178 A $2.02
J9185 A $104.52
J9200 A $60.29
J9201 A $95.02
J9202 A $209.33
J9206 A $8.65
J9207 A $63.61
J9208 A $32.91
J9211 A $51.63
J9212 A $16.90
J9214 A $16.98
J9215 A $21.07
J9216 A $554.90
J9217 A $199.95
J9218 A $3.76
J9219 A $4774.35
J9225 A $3803.51
J9226 A $15339.46
J9230 A $156.37
J9245 A $1308.97
J9261 A $111.78
J9263 A $9.71
J9264 A $9.38
J9265 A $5.50
J9266 A $2701.13
J9268 A $1105.48
J9280 A $19.74
J9293 A $41.31
J9300 A $2716.72
J9302 A $45.40
J9303 A $86.49
J9305 A $52.93
J9307 A $165.63
J9310 A $605.27
J9315 A $224.76
J9320 A $266.49
J9328 A $4.88
J9330 A $51.28
J9340 A $115.48
J9351 A $9.29
J9355 A $69.75
J9357 A $963.30
J9395 A $84.64
J9600 A $2976.39
P9041 A $20.37
P9045 A $67.07
P9046 A $29.16
P9047 A $70.39
Q0138 A $0.68
Q0515 A $1.78
Q2017 A $320.06
Q2040 A $5.54
Q2041 A $0.88
Q2042 A $2.90
Q2043 A $32860.00
Q2044 A $39.15
Q3025 A $235.49
Q4101 A $36.19
Q4102 A $4.63
Q4103 A $4.63
Q4104 A $17.29
Q4105 A $10.46
Q4106 A $40.88
Q4107 A $95.24
Q4108 A $19.92
Q4110 A $30.93
Q4111 A $6.96
Q4112 A $351.37
Q4113 A $351.37
Q4114 A $1024.45
Q4115 A $7.83
Q4116 A $32.43
Q4118 A $2.97
Q4119 A $5.61
Q4121 A $20.94
Q9968 A $0.49
90371 A $115.58
90375 A $185.01
90376 A $177.82
90378 A $1169.99
90396 A $129.48
90476 A $23.24
90585 A $112.88
90675 A $141.88
90676 A $107.83
90680 A $73.07
90681 A $101.53
90733 A $105.49
90734 A $92.94
90735 A $101.12
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 2010 by the American Medical Association.

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