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July 2016 3rd QTR ASC Drug File

Revised: 09.28.16

Effective 07.01.2016

HCPCS Code Status Indicator Amount
A9586 A $2,756.00
C9121 A $11.41
C9132 A $1.77
C9137 A $1.55
C9138 A $1.52
C9248 A $2.52
C9257 A $1.81
C9293 A $270.68
C9349 A $121.38
C9399 C $0.00
C9447 A $487.40
C9460 A $15.47
C9461 A $5,700.00
C9470 A $2.43
C9471 A $19.00
C9472 A $46.48
C9473 A $25.96
C9474 A $39.58
C9475 A $5.29
C9476 A $46.43
C9477 A $6.25
C9478 A $530.00
C9479 A $30.02
C9480 A $280.57
C9497 A $148.71
J0120 A $97.97
J0129 A $41.98
J0132 A $1.59
J0135 A $849.04
J0178 A $980.50
J0180 A $164.44
J0202 A $1,734.56
J0207 A $401.43
J0215 A $41.64
J0220 A $206.70
J0221 A $159.37
J0256 A $4.61
J0257 A $4.38
J0287 A $13.13
J0289 A $18.77
J0300 A $194.26
J0401 A $4.40
J0475 A $178.03
J0476 A $77.03
J0480 A $3,180.21
J0485 A $3.84
J0490 A $42.09
J0561 A $9.52
J0585 A $5.84
J0586 A $7.71
J0587 A $11.62
J0588 A $4.91
J0594 A $35.21
J0596 A $27.68
J0597 A $46.53
J0598 A $54.85
J0600 A $5,594.42
J0630 A $2,328.12
J0637 A $11.91
J0638 A $92.42
J0641 A $1.09
J0695 A $4.50
J0712 A $2.46
J0714 A $73.94
J0716 A $4,236.65
J0717 A $7.06
J0720 A $41.26
J0725 A $19.34
J0740 A $585.75
J0775 A $40.03
J0795 A $8.05
J0800 A $3,561.08
J0833 A $101.68
J0840 A $2,670.24
J0850 A $1,126.96
J0875 A $15.08
J0878 A $0.90
J0881 A $4.01
J0885 A $12.52
J0887 A $1.69
J0894 A $21.83
J0897 A $16.11
J1160 A $4.96
J1162 A $3,039.53
J1190 A $181.01
J1205 A $91.63
J1212 A $450.01
J1290 A $399.76
J1300 A $218.39
J1322 A $221.38
J1324 A $18.63
J1327 A $32.59
J1330 A $91.15
J1364 A $59.04
J1410 A $248.85
J1430 A $404.09
J1438 A $411.71
J1439 A $1.06
J1442 A $1.00
J1447 A $0.77
J1451 A $7.84
J1453 A $1.80
J1458 A $363.72
J1459 A $38.23
J1556 A $37.41
J1557 A $36.93
J1559 A $9.84
J1561 A $39.91
J1566 A $34.03
J1568 A $39.78
J1569 A $40.00
J1571 A $54.75
J1572 A $36.90
J1573 A $54.75
J1575 A $13.00
J1595 A $200.91
J1602 A $24.73
J1610 A $200.33
J1640 A $22.67
J1670 A $386.11
J1725 A $2.68
J1740 A $113.56
J1742 A $264.44
J1743 A $522.55
J1744 A $323.34
J1745 A $82.28
J1750 A $12.34
J1786 A $41.94
J1830 A $380.20
J1833 A $0.62
J1930 A $49.40
J1931 A $30.59
J1945 A $235.52
J1950 A $977.88
J2020 A $15.95
J2278 A $7.29
J2315 A $3.25
J2320 A $122.78
J2323 A $17.90
J2325 A $73.54
J2353 A $166.82
J2355 A $448.48
J2357 A $31.14
J2358 A $2.92
J2407 A $24.70
J2425 A $17.87
J2426 A $9.06
J2469 A $22.43
J2502 A $275.18
J2503 A $1,054.70
J2504 A $319.67
J2505 A $3,986.90
J2507 A $1,511.02
J2510 A $25.05
J2547 A $1.61
J2562 A $310.25
J2597 A $15.20
J2670 A $1,600.40
J2724 A $15.25
J2760 A $408.96
J2770 A $379.86
J2778 A $382.60
J2783 A $244.50
J2792 A $21.16
J2793 A $24.09
J2794 A $7.76
J2796 A $61.53
J2800 A $39.50
J2820 A $35.30
J2850 A $34.78
J2860 A $9.00
J2941 A $81.59
J2993 A $2,301.91
J2997 A $79.89
J3060 A $40.49
J3070 A $144.51
J3090 A $1.27
J3095 A $4.99
J3101 A $101.80
J3145 A $1.21
J3240 A $1,569.54
J3243 A $2.75
J3246 A $8.47
J3262 A $4.13
J3285 A $61.24
J3300 A $3.70
J3315 A $392.06
J3355 A $120.61
J3357 A $167.73
J3365 A $262.79
J3380 A $17.03
J3385 A $343.11
J3396 A $10.92
J3465 A $4.09
J3489 A $18.45
J7178 A $1.14
J7180 A $8.19
J7181 A $14.14
J7183 A $0.80
J7185 A $1.24
J7186 A $0.97
J7187 A $1.04
J7188 A $4.06
J7189 A $1.90
J7190 A $0.98
J7191 A $0.20
J7192 A $1.20
J7193 A $1.11
J7194 A $1.28
J7195 A $1.51
J7196 A $103.35
J7197 A $3.62
J7198 A $1.93
J7200 A $1.25
J7201 A $2.82
J7205 A $1.89
J7308 A $327.41
J7309 A $83.69
J7310 A $16,960.00
J7311 A $20,138.60
J7312 A $197.81
J7313 A $490.95
J7316 A $1,046.75
J7321 A $86.59
J7323 A $157.58
J7324 A $159.78
J7325 A $12.49
J7326 A $610.10
J7327 A $910.74
J7336 A $2.98
J7340 A $2.14
J7501 A $217.30
J7503 A $1.08
J7504 A $1,289.76
J7508 A $0.39
J7511 A $676.20
J7513 A $526.34
J7525 A $163.71
J8501 A $11.04
J8510 A $23.45
J8520 A $4.63
J8521 A $14.76
J8560 A $66.73
J8650 A $38.19
J8655 A $464.91
J8700 A $2.88
J8705 A $103.82
J9015 A $3,067.64
J9017 A $65.12
J9019 A $398.46
J9025 A $2.83
J9027 A $150.64
J9031 A $123.39
J9032 A $33.39
J9033 A $24.75
J9035 A $72.20
J9039 A $96.17
J9041 A $46.56
J9042 A $129.29
J9043 A $150.11
J9047 A $31.79
J9050 A $3,820.75
J9055 A $55.97
J9065 A $21.94
J9070 A $42.19
J9098 A $591.31
J9120 A $1,258.03
J9150 A $37.69
J9151 A $238.74
J9155 A $3.72
J9171 A $2.73
J9179 A $106.38
J9200 A $16.28
J9202 A $304.27
J9207 A $75.15
J9208 A $29.19
J9211 A $25.97
J9213 A $733.57
J9214 A $25.27
J9216 A $5,739.88
J9217 A $219.88
J9219 A $168.48
J9225 A $3,088.07
J9226 A $26,164.11
J9228 A $140.63
J9230 A $266.34
J9245 A $1,765.97
J9261 A $152.08
J9262 A $2.58
J9263 A $0.30
J9264 A $10.05
J9266 A $14,275.20
J9268 A $1,840.32
J9271 A $45.77
J9280 A $98.21
J9293 A $36.31
J9299 A $25.69
J9301 A $56.29
J9302 A $51.96
J9303 A $105.52
J9305 A $62.95
J9306 A $10.66
J9307 A $229.94
J9308 A $56.15
J9310 A $791.40
J9315 A $300.40
J9320 A $322.81
J9328 A $7.45
J9330 A $65.58
J9340 A $1,098.18
J9354 A $29.22
J9355 A $91.73
J9357 A $1,132.78
J9371 A $2,493.01
J9395 A $94.08
J9400 A $8.07
J9600 A $20,602.26
P9041 A $11.32
P9045 A $54.72
P9046 A $22.49
P9047 A $53.44
Q0138 A $0.86
Q2017 A $2,025.66
Q2043 A $38,035.21
Q2049 A $508.43
Q2050 A $426.25
Q3027 A $44.80
Q4121 A $40.15
Q5101 A $0.87
Q5102 A $0.00
Q9950 A $22.93
Q9968 A $11.84
Q9981 A $12.62
Q9982 A $3,135.00
Q9983 A $2,968.00
90371 A $114.44
90375 A $283.63
90376 A $272.08
90378 A $1,947.49
90396 A $1,230.98
90585 A $123.39
90620 A $147.61
90621 A $122.70
90675 A $258.73
90676 A $172.30
90733 A $106.49
90734 A $101.54
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 2016 by the American Medical Association.

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