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January 2015 1st QTR ASC Drug File

Revised: 10.01.15

Effective 01.01.2015

HCPCS Code Status Indicator Amount
A9520 A $240.00
A9586 A $2,756.00
C9025 A $53.97
C9026 A $17.03
C9027 A $45.75
C9121 A $15.49
C9132 A $1.61
C9136 A $2.30
C9248 A $4.24
C9257 A $1.70
C9293 A $257.67
C9349 A $109.18
C9399 C $0.00
C9442 A $31.80
C9443 A $31.59
C9444 A $25.62
C9446 A $0.12
C9447 A $492.90
C9497 A $153.70
J0120 A $97.97
J0129 A $33.15
J0130 A $804.37
J0132 A $1.56
J0135 A $630.65
J0178 A $980.50
J0180 A $152.35
J0200 A $38.86
J0207 A $479.05
J0215 A $41.64
J0220 A $206.63
J0221 A $153.62
J0256 A $4.24
J0257 A $3.98
J0287 A $11.01
J0289 A $16.98
J0300 A $194.26
J0365 A $174.42
J0401 A $3.98
J0475 A $159.74
J0476 A $75.84
J0480 A $2,723.28
J0485 A $3.80
J0490 A $40.03
J0583 A $3.54
J0585 A $5.58
J0586 A $7.62
J0587 A $11.28
J0588 A $4.47
J0594 A $32.86
J0597 A $38.58
J0598 A $51.89
J0600 A $3,063.72
J0630 A $358.25
J0637 A $12.32
J0638 A $91.00
J0641 A $1.75
J0716 A $3,635.80
J0717 A $6.17
J0725 A $18.40
J0740 A $584.51
J0775 A $38.45
J0795 A $7.73
J0800 A $3,324.95
J0833 A $101.68
J0840 A $2,493.12
J0850 A $1,013.87
J0878 A $0.71
J0881 A $3.90
J0885 A $11.89
J0894 A $27.18
J0897 A $14.69
J1162 A $2,051.63
J1190 A $138.61
J1205 A $119.20
J1290 A $374.64
J1300 A $210.35
J1322 A $221.70
J1324 A $18.63
J1327 A $28.57
J1364 A $43.93
J1410 A $190.66
J1430 A $311.12
J1438 A $299.37
J1439 A $1.06
J1442 A $1.00
J1446 A $3.92
J1451 A $6.34
J1453 A $1.73
J1458 A $358.97
J1459 A $36.66
J1556 A $38.47
J1557 A $35.92
J1559 A $7.95
J1561 A $40.22
J1566 A $26.73
J1568 A $36.87
J1569 A $39.15
J1571 A $52.27
J1572 A $36.14
J1573 A $52.27
J1595 A $182.83
J1600 A $4.27
J1602 A $23.92
J1610 A $162.08
J1640 A $20.73
J1670 A $328.40
J1725 A $2.65
J1740 A $123.88
J1742 A $110.02
J1743 A $483.10
J1744 A $276.64
J1745 A $74.11
J1750 A $12.12
J1786 A $42.01
J1830 A $347.95
J1930 A $46.70
J1931 A $29.45
J1945 A $235.52
J1950 A $810.14
J2020 A $47.75
J2248 A $0.95
J2278 A $6.97
J2315 A $2.89
J2320 A $122.78
J2323 A $15.49
J2325 A $66.30
J2353 A $143.32
J2355 A $322.70
J2357 A $27.68
J2358 A $2.75
J2425 A $15.22
J2426 A $8.12
J2469 A $20.15
J2503 A $1,035.10
J2504 A $281.40
J2505 A $3,495.46
J2507 A $1,006.47
J2515 A $35.84
J2562 A $304.06
J2597 A $5.04
J2670 A $1,600.40
J2724 A $14.61
J2730 A $87.66
J2760 A $159.00
J2770 A $262.29
J2778 A $396.05
J2783 A $223.00
J2791 A $4.77
J2792 A $18.64
J2793 A $24.09
J2794 A $6.50
J2796 A $54.99
J2820 A $33.15
J2850 A $34.78
J2941 A $76.03
J2993 A $2,301.91
J2997 A $68.19
J3060 A $35.23
J3070 A $113.72
J3095 A $4.79
J3101 A $86.23
J3145 A $1.14
J3240 A $1,428.67
J3243 A $2.08
J3246 A $9.00
J3262 A $3.80
J3285 A $61.24
J3300 A $3.74
J3315 A $169.45
J3350 A $39.97
J3355 A $62.14
J3357 A $160.48
J3385 A $352.81
J3396 A $10.75
J3465 A $3.73
J3485 A $1.50
J3489 A $41.29
J7178 A $1.01
J7180 A $35.23
J7181 A $13.81
J7183 A $0.96
J7185 A $1.19
J7186 A $0.95
J7187 A $0.96
J7189 A $1.77
J7190 A $0.94
J7191 A $0.20
J7192 A $1.14
J7193 A $1.04
J7194 A $1.14
J7195 A $1.35
J7196 A $103.35
J7197 A $3.27
J7198 A $1.76
J7200 A $1.24
J7201 A $2.82
J7308 A $244.25
J7309 A $83.69
J7310 A $16,960.00
J7311 A $19,725.67
J7312 A $201.25
J7315 A $372.80
J7316 A $1,046.75
J7321 A $88.90
J7323 A $154.62
J7324 A $174.75
J7325 A $12.74
J7326 A $563.86
J7327 A $988.38
J7336 A $2.73
J7501 A $217.30
J7504 A $902.25
J7508 A $0.39
J7511 A $588.77
J7513 A $526.34
J7525 A $149.15
J8501 A $7.67
J8520 A $8.10
J8521 A $26.34
J8560 A $56.88
J8650 A $28.42
J8700 A $3.65
J8705 A $97.56
J9015 A $2,319.58
J9017 A $53.72
J9019 A $364.68
J9020 A $64.56
J9025 A $3.67
J9027 A $134.03
J9031 A $120.44
J9033 A $22.72
J9035 A $67.90
J9041 A $46.55
J9042 A $115.39
J9043 A $142.38
J9047 A $30.03
J9050 A $1,982.07
J9055 A $53.75
J9065 A $21.98
J9070 A $58.02
J9098 A $559.09
J9120 A $807.19
J9150 A $27.70
J9151 A $238.92
J9155 A $3.42
J9171 A $3.98
J9179 A $100.08
J9185 A $88.90
J9200 A $60.25
J9202 A $230.01
J9207 A $71.34
J9208 A $30.83
J9211 A $42.26
J9213 A $733.57
J9214 A $21.28
J9216 A $4,025.96
J9217 A $237.16
J9225 A $3,000.24
J9226 A $20,115.46
J9228 A $133.66
J9230 A $194.13
J9245 A $1,292.71
J9261 A $142.92
J9262 A $2.48
J9263 A $0.59
J9264 A $9.69
J9266 A $6,200.82
J9268 A $1,510.36
J9280 A $39.86
J9293 A $34.79
J9301 A $54.24
J9302 A $48.35
J9303 A $96.98
J9305 A $60.70
J9306 A $10.22
J9307 A $204.47
J9310 A $725.44
J9315 A $279.81
J9320 A $336.01
J9328 A $5.71
J9330 A $60.04
J9340 A $630.70
J9351 A $1.53
J9354 A $29.17
J9355 A $84.45
J9357 A $1,098.82
J9371 A $2,142.60
J9395 A $91.30
J9400 A $7.62
J9600 A $20,002.20
P9041 A $10.91
P9045 A $54.54
P9046 A $22.49
P9047 A $53.44
Q0138 A $0.78
Q2017 A $825.50
Q2043 A $34,775.98
Q2049 A $508.43
Q2050 A $489.99
Q3027 A $36.69
Q4121 A $36.16
Q4122 A $82.30
Q4127 A $19.88
Q9968 A $1.61
90371 A $116.67
90375 A $243.58
90376 A $225.42
90378 A $1,947.79
90396 A $675.22
90581 A $94.05
90585 A $120.44
90620 A $155.70
90621 A $122.70
90675 A $234.29
90676 A $172.30
90733 A $106.49
90735 A $108.29
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 2015 by the American Medical Association.

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