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October 2017 4th Quarter ASC Drug File

Effective: 10.10.2017

Revised: 01.01.18

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 $1.86
C9140 A $1.41
C9248 A $2.43
C9250 A $111.35
C9257 A $1.88
C9293 A $298.60
C9399 C $0.00
C9447 A $473.24
C9460 A $15.17
C9482 A $9.99
C9483 A $75.64
C9484 A $169.60
C9485 A $49.95
C9486 A $4.88
C9488 A $30.52
C9489 A $1,103.79
C9490 A $40.23
C9491 A $79.44
C9492 A $73.75
C9493 A $19.19
C9494 A $57.42
C9497 A $153.70
J0120 A $7.29
J0129 A $49.59
J0130 A $1,215.20
J0135 A $1,176.93
J0178 A $974.59
J0180 A $171.07
J0202 A $1,778.60
J0207 A $959.81
J0215 A $41.64
J0220 A $206.70
J0221 A $159.73
J0256 A $4.94
J0257 A $4.57
J0287 A $13.86
J0289 A $21.52
J0300 A $194.26
J0401 A $4.89
J0475 A $164.62
J0476 A $70.34
J0480 A $3,440.37
J0485 A $3.94
J0490 A $42.81
J0561 A $11.92
J0570 A $1,261.31
J0583 A $1.23
J0585 A $6.03
J0586 A $8.26
J0587 A $11.98
J0588 A $5.08
J0594 A $34.73
J0596 A $27.99
J0597 A $48.97
J0598 A $57.21
J0600 A $5,594.42
J0630 A $2,287.94
J0637 A $12.46
J0638 A $106.12
J0641 A $0.53
J0695 A $4.96
J0712 A $2.63
J0714 A $76.92
J0716 A $4,459.02
J0717 A $7.47
J0740 A $477.55
J0775 A $41.83
J0795 A $8.61
J0800 A $3,771.36
J0840 A $2,870.72
J0850 A $1,128.71
J0875 A $14.40
J0878 A $0.62
J0881 A $3.95
J0882 A $3.95
J0883 A $1.29
J0885 A $12.94
J0894 A $17.70
J0897 A $17.33
J1130 A $0.19
J1162 A $3,267.03
J1190 A $185.89
J1205 A $60.94
J1212 A $554.16
J1290 A $441.29
J1300 A $226.63
J1322 A $230.96
J1324 A $18.63
J1327 A $21.74
J1364 A $64.90
J1410 A $304.61
J1430 A $443.68
J1438 A $588.57
J1439 A $1.06
J1442 A $1.01
J1447 A $0.63
J1451 A $7.21
J1453 A $2.03
J1455 A $75.17
J1458 A $380.50
J1459 A $38.51
J1460 A $31.76
J1556 A $38.31
J1557 A $41.08
J1559 A $9.81
J1560 A $317.64
J1561 A $38.94
J1566 A $34.28
J1568 A $36.62
J1569 A $39.78
J1571 A $61.12
J1572 A $29.84
J1573 A $61.12
J1575 A $13.14
J1595 A $214.44
J1602 A $24.74
J1610 A $205.55
J1640 A $24.00
J1670 A $557.45
J1730 A $690.03
J1740 A $82.87
J1742 A $169.14
J1743 A $542.86
J1744 A $335.34
J1745 A $87.15
J1750 A $13.04
J1786 A $41.69
J1826 A $482.21
J1830 A $380.40
J1833 A $0.69
J1930 A $55.98
J1931 A $30.61
J1942 A $2.46
J1945 A $12.71
J1950 A $1,087.91
J2182 A $27.77
J2260 A $1.94
J2265 A $1.55
J2278 A $7.42
J2315 A $3.26
J2320 A $133.36
J2323 A $19.42
J2325 A $73.30
J2353 A $183.64
J2355 A $467.22
J2357 A $34.93
J2358 A $2.92
J2407 A $23.36
J2425 A $19.20
J2426 A $10.02
J2469 A $20.90
J2502 A $267.20
J2503 A $729.47
J2504 A $352.27
J2505 A $4,320.73
J2507 A $2,006.66
J2510 A $29.30
J2515 A $52.40
J2547 A $1.61
J2562 A $314.44
J2597 A $12.75
J2670 A $1,600.40
J2724 A $15.13
J2730 A $87.58
J2760 A $358.28
J2770 A $428.62
J2778 A $378.35
J2783 A $263.06
J2786 A $8.85
J2792 A $23.80
J2793 A $24.09
J2794 A $8.63
J2796 A $66.86
J2820 A $37.70
J2840 A $530.00
J2850 A $34.78
J2860 A $92.78
J2941 A $81.59
J2993 A $2,301.91
J2997 A $83.99
J3060 A $40.37
J3070 A $71.47
J3090 A $1.33
J3095 A $5.12
J3101 A $111.70
J3240 A $1,579.69
J3243 A $2.99
J3246 A $9.19
J3262 A $4.37
J3285 A $61.24
J3300 A $3.88
J3315 A $391.11
J3355 A $132.66
J3357 A $187.26
J3365 A $262.79
J3380 A $18.59
J3385 A $342.35
J3396 A $10.76
J3465 A $2.70
J7175 A $6.83
J7178 A $1.16
J7179 A $2.27
J7180 A $8.21
J7181 A $15.13
J7182 A $1.29
J7183 A $1.04
J7185 A $1.25
J7186 A $0.98
J7187 A $1.09
J7188 A $5.30
J7189 A $2.00
J7190 A $1.02
J7191 A $0.20
J7192 A $1.24
J7193 A $1.14
J7194 A $1.39
J7195 A $1.50
J7196 A $103.35
J7197 A $3.75
J7198 A $1.94
J7200 A $1.27
J7201 A $2.99
J7202 A $4.14
J7205 A $2.02
J7207 A $1.87
J7209 A $1.52
J7308 A $367.81
J7309 A $83.69
J7310 A $11.71
J7311 A $20,114.35
J7312 A $200.74
J7313 A $490.80
J7316 A $1,046.75
J7321 A $87.64
J7322 A $19.26
J7323 A $155.23
J7324 A $149.48
J7325 A $12.27
J7326 A $510.57
J7327 A $856.79
J7328 A $2.18
J7340 A $2.14
J7342 A $29.96
J7501 A $238.08
J7503 A $1.24
J7504 A $1,817.04
J7505 A $231.22
J7511 A $710.35
J7513 A $10.00
J7525 A $188.32
J8501 A $7.66
J8510 A $24.83
J8560 A $74.18
J8650 A $38.20
J8655 A $458.47
J8670 A $2.30
J8700 A $1.46
J8705 A $103.63
J9015 A $3,598.38
J9017 A $71.34
J9019 A $402.74
J9025 A $1.66
J9027 A $149.96
J9031 A $131.25
J9032 A $35.21
J9033 A $29.19
J9034 A $23.77
J9035 A $75.18
J9039 A $103.43
J9041 A $46.87
J9042 A $139.39
J9043 A $159.10
J9047 A $33.16
J9050 A $3,863.47
J9055 A $57.62
J9065 A $20.66
J9070 A $42.06
J9098 A $641.67
J9120 A $1,404.01
J9145 A $49.15
J9150 A $37.86
J9151 A $243.80
J9155 A $3.64
J9171 A $1.89
J9176 A $6.26
J9179 A $109.16
J9200 A $72.67
J9202 A $351.53
J9205 A $41.13
J9207 A $74.10
J9208 A $26.85
J9211 A $39.47
J9213 A $32.23
J9214 A $31.71
J9216 A $6,308.13
J9217 A $209.71
J9218 A $25.97
J9219 A $168.48
J9225 A $3,284.12
J9226 A $29,003.67
J9228 A $146.78
J9230 A $292.48
J9245 A $1,369.46
J9261 A $151.66
J9262 A $2.85
J9263 A $0.19
J9264 A $10.78
J9266 A $13,907.58
J9268 A $2,001.26
J9271 A $47.97
J9280 A $133.65
J9293 A $38.98
J9295 A $5.29
J9299 A $26.80
J9301 A $58.94
J9302 A $54.91
J9303 A $110.28
J9305 A $64.98
J9306 A $11.16
J9307 A $247.97
J9308 A $56.53
J9310 A $848.41
J9315 A $328.83
J9320 A $322.73
J9325 A $47.21
J9328 A $9.70
J9330 A $70.51
J9340 A $828.90
J9351 A $1.25
J9352 A $289.17
J9354 A $29.81
J9355 A $97.80
J9357 A $1,198.56
J9371 A $2,701.78
J9395 A $96.77
J9400 A $8.15
J9600 A $21,219.57
P9041 A $11.80
P9045 A $54.72
P9046 A $22.49
P9047 A $53.44
Q0138 A $0.91
Q0139 A $0.91
Q2017 A $2,645.71
Q2043 A $40,440.17
Q2049 A $508.43
Q2050 A $374.93
Q3027 A $50.11
Q4172 A $120.78
Q5101 A $0.71
Q5102 A $78.72
Q9950 A $21.25
Q9968 A $4.04
Q9982 A $3,498.00
Q9983 A $2,968.00
Q9986 A $27.07
Q9989 A $12.88
90371 A $124.27
90375 A $314.27
90376 A $317.43
90378 A $176.35
90396 A $1,304.84
90675 A $269.12
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 theĀ American Medical Association.

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