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October 3, 2011

October 2011 4th QTR ASC Drug File

Effective 10.01.2011 - Revised: April 2012

HCPCS Code Status Indicator Amount
A9582 A $2,636.16
A9583 A $12.65
C9121 A $20.35
C9248 A $2.68
C9250 A $132.21
C9254 A $0.15
C9257 A $1.51
C9270 A $37.29
C9272 A $14.47
C9274 A $2,111.36
C9275 A $623.28
C9276 A $135.57
C9277 A $14.83
C9279 A $1.62
C9280 A $900.58
C9281 A $301.75
C9282 A $0.74
C9283 A $0.11
C9284 A $127.20
C9285 A $13.57
C9286 A $3.91
C9358 A $11.01
C9360 A $11.44
C9361 A $239.46
C9362 A $51.87
C9363 A $20.99
C9364 A $17.44
C9365 A $10.39
C9367 A $4.35
C9399 C $0.00
C9406 A $1,908.00
J0129 A $20.92
J0130 A $554.23
J0132 A $2.77
J0135 A $414.90
J0152 A $95.33
J0180 A $139.86
J0205 A $41.63
J0207 A $318.98
J0210 A $39.53
J0215 A $39.10
J0220 A $157.34
J0256 A $3.87
J0287 A $8.50
J0288 A $14.70
J0289 A $14.38
J0348 A $1.22
J0475 A $189.26
J0476 A $77.13
J0480 A $2,211.64
J0515 A $25.57
J0583 A $2.74
J0585 A $5.43
J0586 A $7.36
J0587 A $10.88
J0594 A $18.90
J0597 A $30.23
J0598 A $44.20
J0600 A $191.29
J0630 A $56.50
J0637 A $13.45
J0638 A $88.97
J0641 A $1.61
J0718 A $4.20
J0735 A $30.54
J0740 A $749.81
J0775 A $37.51
J0795 A $5.63
J0800 A $2,540.41
J0833 A $100.72
J0834 A $68.38
J0850 A $956.97
J0878 A $0.48
J0881 A $3.17
J0885 A $9.80
J0894 A $32.25
J0945 A $7.50
J1162 A $632.74
J1190 A $209.92
J1205 A $272.46
J1212 A $84.86
J1290 A $289.07
J1300 A $188.16
J1327 A $22.23
J1410 A $104.54
J1430 A $297.11
J1438 A $206.27
J1440 A $249.18
J1441 A $393.82
J1451 A $6.97
J1453 A $1.71
J1457 A $2.05
J1458 A $344.68
J1459 A $34.75
J1460 A $20.81
J1559 A $7.22
J1560 A $208.14
J1561 A $37.13
J1562 A $12.60
J1566 A $30.75
J1568 A $56.34
J1569 A $37.43
J1571 A $52.61
J1572 A $35.15
J1573 A $52.61
J1595 A $110.35
J1610 A $102.27
J1640 A $10.51
J1670 A $247.38
J1680 A $72.94
J1730 A $1.04
J1740 A $149.44
J1742 A $126.92
J1743 A $450.74
J1745 A $62.61
J1750 A $11.65
J1756 A $0.32
J1786 A $41.59
J1830 A $213.62
J1930 A $31.28
J1931 A $26.58
J1945 A $349.51
J1950 A $596.39
J2020 A $34.82
J2170 A $25.90
J2248 A $0.99
J2278 A $6.54
J2315 A $2.81
J2320 A $9.27
J2323 A $10.42
J2325 A $46.80
J2353 A $118.24
J2355 A $242.20
J2357 A $21.54
J2358 A $2.73
J2425 A $11.56
J2426 A $6.68
J2469 A $19.01
J2503 A $1,010.97
J2504 A $250.95
J2505 A $2,702.23
J2510 A $12.17
J2513 A $13.36
J2562 A $281.10
J2700 A $2.53
J2724 A $13.02
J2730 A $89.37
J2770 A $173.13
J2778 A $399.33
J2783 A $190.79
J2785 A $51.71
J2788 A $21.73
J2790 A $82.93
J2791 A $5.14
J2792 A $17.37
J2793 A $23.86
J2794 A $5.12
J2796 A $46.31
J2805 A $75.45
J2820 A $24.45
J2850 A $27.23
J2941 A $62.41
J2993 A $1,639.20
J2995 A $47.57
J2997 A $42.64
J3095 A $2.10
J3101 A $57.70
J3240 A $1,042.18
J3243 A $1.31
J3246 A $9.01
J3262 A $3.47
J3285 A $60.66
J3300 A $3.45
J3310 A $30.91
J3315 A $177.87
J3350 A $82.18
J3355 A $66.29
J3357 A $117.56
J3365 A $453.41
J3385 A $349.51
J3396 A $9.86
J3465 A $6.13
J3487 A $222.41
J3488 A $220.54
J7185 A $1.08
J7186 A $0.91
J7187 A $0.88
J7189 A $1.53
J7190 A $0.85
J7191 A $1.17
J7192 A $1.10
J7193 A $0.89
J7194 A $0.91
J7195 A $1.15
J7196 A $102.38
J7197 A $2.74
J7198 A $1.62
J7308 A $149.23
J7309 A $75.23
J7310 A $16,800.00
J7311 A $19,162.50
J7312 A $195.96
J7321 A $88.85
J7323 A $147.50
J7324 A $167.74
J7325 A $12.04
J7335 A $25.55
J7501 A $123.71
J7504 A $561.86
J7505 A $1,122.28
J7511 A $436.36
J7513 A $521.38
J7525 A $138.18
J8501 A $6.12
J8510 A $3.80
J8520 A $7.39
J8521 A $24.86
J8560 A $37.90
J8562 A $77.93
J8700 A $9.57
J8705 A $79.42
J9001 A $530.40
J9010 A $580.71
J9015 A $978.93
J9017 A $40.48
J9020 A $62.67
J9025 A $5.20
J9027 A $120.84
J9031 A $118.47
J9033 A $18.65
J9035 A $60.56
J9041 A $41.06
J9050 A $174.18
J9055 A $50.00
J9065 A $24.17
J9098 A $508.33
J9120 A $572.74
J9150 A $15.75
J9151 A $57.12
J9155 A $2.76
J9160 A $1,618.43
J9171 A $15.90
J9178 A $1.89
J9185 A $102.82
J9200 A $61.41
J9201 A $90.50
J9202 A $188.22
J9206 A $6.49
J9207 A $64.08
J9208 A $32.34
J9211 A $58.88
J9212 A $6.88
J9214 A $16.98
J9215 A $31.50
J9216 A $588.19
J9217 A $218.98
J9218 A $4.47
J9219 A $4,774.35
J9225 A $3,853.68
J9226 A $15,566.73
J9230 A $156.37
J9245 A $1,280.08
J9261 A $115.08
J9263 A $10.05
J9264 A $9.42
J9265 A $9.43
J9266 A $2,701.13
J9268 A $1,094.53
J9280 A $19.74
J9293 A $37.72
J9300 A $2,716.72
J9302 A $45.41
J9303 A $86.41
J9305 A $53.26
J9307 A $165.63
J9310 A $621.14
J9315 A $224.79
J9320 A $268.24
J9328 A $4.85
J9330 A $51.06
J9340 A $132.44
J9351 A $9.94
J9355 A $71.76
J9357 A $968.29
J9395 A $84.44
J9600 A $19,143.46
P9041 A $20.37
P9045 A $67.07
P9046 A $29.16
P9047 A $70.39
Q0138 A $0.66
Q0515 A $1.78
Q2017 A $319.35
Q2040 A $5.53
Q2041 A $0.87
Q2042 A $2.55
Q2043 A $32,860.00
Q2044 A $38.61
Q3025 A $240.59
Q4101 A $36.23
Q4102 A $5.79
Q4103 A $5.79
Q4104 A $16.41
Q4105 A $9.72
Q4106 A $40.90
Q4107 A $95.86
Q4108 A $21.94
Q4110 A $31.72
Q4111 A $6.85
Q4112 A $335.44
Q4113 A $335.44
Q4114 A $1,029.70
Q4115 A $8.34
Q4116 A $32.03
Q4118 A $2.97
Q4119 A $4.57
Q4121 A $20.77
Q9968 A $1.30
90371 A $114.60
90375 A $187.53
90376 A $179.52
90378 A $1,169.99
90396 A $129.48
90476 A $23.24
90585 A $113.31
90675 A $207.46
90676 A $107.83
90680 A $73.07
90681 A $107.63
90733 A $111.82
90734 A $93.82
90735 A $101.12
90740 C $0.00
90743 C $0.00
90744 C $0.00
90746 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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