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January 2017 1st QTR ASC Drug File

Effective 01.01.2017

Revised: 10.01.17

HCPCS Code Status Indicator Amount
A9515 A $5,700.00
A9586 A $2,756.00
A9587 A $66.74
A9588 A $389.55
C9132 A $1.82
C9140 A $1.43
C9248 A $3.04
C9250 A $112.98
C9257 A $1.84
C9293 A $284.08
C9399 C $0.00
C9447 A $488.07
C9460 A $15.41
C9482 A $9.99
C9483 A $75.70
C9497 A $153.70
J0120 A $7.29
J0129 A $45.88
J0130 A $1,147.52
J0135 A $909.22
J0178 A $980.38
J0180 A $164.80
J0202 A $1,750.71
J0207 A $412.27
J0215 A $41.64
J0220 A $206.70
J0221 A $159.73
J0256 A $4.85
J0257 A $4.37
J0287 A $14.50
J0289 A $19.77
J0300 A $194.26
J0401 A $4.59
J0475 A $167.24
J0476 A $76.52
J0480 A $3,341.06
J0485 A $3.83
J0490 A $41.94
J0561 A $10.66
J0570 A $1,280.52
J0583 A $1.33
J0585 A $5.94
J0586 A $7.80
J0587 A $11.69
J0588 A $4.90
J0594 A $37.29
J0596 A $27.93
J0597 A $46.63
J0598 A $55.55
J0600 A $5,594.42
J0630 A $2,301.57
J0637 A $11.65
J0638 A $92.51
J0641 A $0.69
J0695 A $4.76
J0712 A $2.46
J0714 A $77.31
J0716 A $4,246.69
J0717 A $7.43
J0740 A $509.41
J0775 A $41.15
J0795 A $8.12
J0800 A $3,536.42
J0840 A $2,670.24
J0850 A $1,127.63
J0875 A $14.89
J0878 A $0.89
J0881 A $3.85
J0882 A $3.85
J0883 A $1.86
J0885 A $12.32
J0894 A $19.66
J0897 A $16.52
J1130 A $0.16
J1162 A $3,039.53
J1190 A $196.90
J1205 A $84.52
J1212 A $497.80
J1290 A $419.75
J1300 A $223.20
J1322 A $221.61
J1324 A $18.63
J1327 A $29.31
J1364 A $59.70
J1410 A $278.53
J1430 A $404.09
J1438 A $438.17
J1439 A $1.05
J1442 A $1.00
J1447 A $0.71
J1451 A $7.86
J1453 A $1.86
J1455 A $69.14
J1458 A $364.45
J1459 A $38.67
J1460 A $35.85
J1556 A $37.14
J1557 A $39.01
J1559 A $9.85
J1560 A $358.49
J1561 A $36.44
J1566 A $31.70
J1568 A $35.40
J1569 A $40.20
J1571 A $58.55
J1572 A $32.68
J1573 A $58.55
J1575 A $12.97
J1595 A $196.27
J1602 A $24.39
J1610 A $215.87
J1640 A $22.86
J1670 A $376.51
J1725 A $2.75
J1730 A $690.03
J1740 A $96.52
J1742 A $182.89
J1743 A $522.04
J1744 A $325.45
J1745 A $82.22
J1750 A $12.46
J1786 A $41.83
J1826 A $482.21
J1830 A $380.92
J1833 A $0.64
J1930 A $52.23
J1931 A $30.61
J1942 A $2.42
J1945 A $12.71
J1950 A $1,031.56
J2182 A $26.67
J2260 A $2.52
J2265 A $1.51
J2278 A $7.33
J2315 A $3.25
J2320 A $133.36
J2323 A $18.78
J2325 A $72.97
J2353 A $174.52
J2355 A $467.22
J2357 A $32.36
J2358 A $2.92
J2407 A $24.66
J2425 A $17.68
J2426 A $9.46
J2469 A $22.54
J2502 A $266.99
J2503 A $1,054.70
J2504 A $343.50
J2505 A $4,117.23
J2507 A $1,794.26
J2510 A $28.04
J2515 A $49.44
J2547 A $1.68
J2562 A $312.14
J2597 A $13.36
J2670 A $1,600.40
J2724 A $15.22
J2730 A $87.20
J2760 A $398.32
J2770 A $435.31
J2778 A $380.22
J2783 A $255.06
J2786 A $8.85
J2792 A $22.32
J2793 A $24.09
J2794 A $8.13
J2796 A $64.20
J2820 A $37.13
J2840 A $530.00
J2850 A $34.78
J2860 A $90.04
J2941 A $81.59
J2993 A $2,301.91
J2997 A $81.22
J3060 A $40.42
J3070 A $140.49
J3090 A $1.27
J3095 A $5.13
J3101 A $102.43
J3240 A $1,574.82
J3243 A $3.19
J3246 A $9.23
J3262 A $4.26
J3285 A $61.24
J3300 A $3.72
J3315 A $402.38
J3355 A $132.66
J3357 A $173.19
J3365 A $262.79
J3380 A $17.58
J3385 A $342.99
J3396 A $10.74
J3465 A $3.60
J7175 A $6.52
J7178 A $1.15
J7179 A $2.31
J7180 A $8.19
J7181 A $14.65
J7182 A $1.29
J7183 A $0.95
J7185 A $1.22
J7186 A $0.98
J7187 A $1.04
J7188 A $4.28
J7189 A $1.92
J7190 A $1.02
J7191 A $0.20
J7192 A $1.20
J7193 A $1.12
J7194 A $1.31
J7195 A $1.52
J7196 A $103.35
J7197 A $3.34
J7198 A $1.93
J7200 A $1.25
J7201 A $2.92
J7202 A $4.14
J7205 A $1.97
J7207 A $1.74
J7209 A $1.70
J7308 A $347.02
J7309 A $83.69
J7310 A $11.71
J7311 A $20,114.60
J7312 A $200.83
J7313 A $490.95
J7316 A $1,046.75
J7321 A $86.14
J7322 A $16.16
J7323 A $157.35
J7324 A $150.99
J7325 A $13.03
J7326 A $612.61
J7327 A $906.47
J7340 A $2.14
J7342 A $29.96
J7501 A $235.79
J7503 A $1.23
J7504 A $1,479.34
J7505 A $231.22
J7511 A $688.44
J7513 A $10.00
J7525 A $170.75
J8501 A $12.27
J8510 A $23.72
J8560 A $73.55
J8650 A $38.19
J8655 A $444.99
J8670 A $2.45
J8700 A $1.95
J8705 A $103.82
J9015 A $3,067.64
J9017 A $64.98
J9019 A $402.74
J9025 A $2.43
J9027 A $152.43
J9031 A $127.01
J9032 A $34.53
J9033 A $27.98
J9034 A $23.69
J9035 A $73.73
J9039 A $98.60
J9041 A $46.26
J9042 A $134.44
J9043 A $154.22
J9047 A $31.81
J9050 A $3,850.06
J9055 A $56.65
J9065 A $23.20
J9070 A $42.31
J9098 A $595.18
J9120 A $1,276.38
J9145 A $46.92
J9150 A $31.39
J9151 A $243.80
J9155 A $3.68
J9171 A $2.56
J9176 A $6.23
J9179 A $108.08
J9200 A $74.79
J9202 A $327.37
J9205 A $39.51
J9207 A $76.32
J9208 A $28.33
J9211 A $34.37
J9213 A $32.23
J9214 A $26.73
J9216 A $5,739.88
J9217 A $220.98
J9218 A $22.48
J9219 A $168.48
J9225 A $3,152.29
J9226 A $27,762.44
J9228 A $142.59
J9230 A $265.89
J9245 A $2,017.04
J9261 A $151.91
J9262 A $2.72
J9263 A $0.32
J9264 A $10.35
J9266 A $13,913.32
J9268 A $1,881.67
J9271 A $46.54
J9280 A $104.81
J9293 A $39.54
J9295 A $5.26
J9299 A $26.05
J9301 A $57.43
J9302 A $53.26
J9303 A $107.44
J9305 A $63.81
J9306 A $10.90
J9307 A $237.37
J9308 A $56.39
J9310 A $818.50
J9315 A $306.14
J9320 A $318.61
J9325 A $46.13
J9328 A $8.17
J9330 A $67.93
J9340 A $948.26
J9351 A $1.07
J9352 A $283.34
J9354 A $29.56
J9355 A $94.53
J9357 A $1,148.89
J9371 A $2,502.76
J9395 A $95.74
J9400 A $8.17
J9600 A $21,219.57
P9041 A $11.32
P9045 A $54.72
P9046 A $22.49
P9047 A $53.44
Q0138 A $0.89
Q0139 A $0.89
Q2017 A $2,592.79
Q2043 A $37,941.91
Q2049 A $508.43
Q2050 A $429.60
Q3027 A $46.34
Q4172 A $120.11
Q5101 A $0.78
Q5102 A $100.31
Q9950 A $21.66
Q9968 A $2.39
Q9982 A $3,498.00
Q9983 A $2,968.00
90371 A $109.47
90375 A $281.91
90376 A $296.24
90378 A $176.35
90396 A $1,230.98
90675 A $262.98
90676 A $141.02
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 2017 by the
American Medical Association.

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 2017 by the American Medical Association. 

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