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July 2017 3rd QTR ASC Drug File

Effective: 07.01.2017

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 $1.85
C9140 A $1.42
C9248 A $2.19
C9250 A $112.92
C9257 A $1.87
C9293 A $284.08
C9399 C $0.00
C9447 A $483.34
C9460 A $15.30
C9482 A $9.99
C9483 A $75.60
C9484 A $169.60
C9485 A $49.95
C9486 A $5.15
C9488 A $30.30
C9489 A $1,104.17
C9490 A $40.28
C9497 A $153.70
J0120 A $7.29
J0129 A $47.61
J0130 A $1,235.47
J0135 A $1,176.93
J0178 A $978.09
J0180 A $170.99
J0202 A $1,781.99
J0207 A $1,034.13
J0215 A $41.64
J0220 A $206.70
J0221 A $159.74
J0256 A $4.94
J0257 A $4.63
J0287 A $13.08
J0289 A $20.75
J0300 A $194.26
J0401 A $4.79
J0475 A $168.01
J0476 A $73.21
J0480 A $3,423.97
J0485 A $3.91
J0490 A $41.98
J0561 A $11.45
J0570 A $1,274.04
J0583 A $1.51
J0585 A $5.99
J0586 A $7.95
J0587 A $11.91
J0588 A $5.08
J0594 A $35.86
J0596 A $27.97
J0597 A $48.90
J0598 A $56.42
J0600 A $5,594.42
J0630 A $2,282.99
J0637 A $11.98
J0638 A $92.51
J0641 A $0.70
J0695 A $4.96
J0712 A $2.62
J0714 A $77.00
J0716 A $4,459.02
J0717 A $7.71
J0740 A $488.40
J0775 A $40.66
J0795 A $8.25
J0800 A $3,703.38
J0840 A $2,870.72
J0850 A $1,128.67
J0875 A $14.57
J0878 A $0.67
J0881 A $3.90
J0882 A $3.90
J0883 A $1.51
J0885 A $13.76
J0894 A $19.35
J0897 A $17.04
J1130 A $0.18
J1162 A $3,267.03
J1190 A $184.66
J1205 A $66.42
J1212 A $553.42
J1290 A $432.71
J1300 A $226.63
J1322 A $227.10
J1324 A $18.63
J1327 A $21.84
J1364 A $62.43
J1410 A $303.16
J1430 A $444.10
J1438 A $457.26
J1439 A $1.07
J1442 A $1.01
J1447 A $0.64
J1451 A $6.89
J1453 A $1.91
J1455 A $75.17
J1458 A $373.81
J1459 A $38.60
J1460 A $36.37
J1556 A $38.31
J1557 A $46.69
J1559 A $9.83
J1560 A $363.66
J1561 A $38.41
J1566 A $32.94
J1568 A $34.13
J1569 A $40.19
J1571 A $60.20
J1572 A $27.93
J1573 A $60.20
J1575 A $13.04
J1595 A $214.19
J1602 A $24.73
J1610 A $194.43
J1640 A $23.73
J1670 A $422.04
J1730 A $690.03
J1740 A $83.78
J1742 A $65.75
J1743 A $533.48
J1744 A $329.44
J1745 A $85.74
J1750 A $13.03
J1786 A $41.75
J1826 A $482.21
J1830 A $391.87
J1833 A $0.68
J1930 A $54.39
J1931 A $30.61
J1942 A $2.36
J1945 A $12.71
J1950 A $1,016.35
J2182 A $27.68
J2260 A $1.75
J2265 A $1.50
J2278 A $7.33
J2315 A $3.25
J2320 A $133.36
J2323 A $19.43
J2325 A $73.25
J2353 A $182.59
J2355 A $467.22
J2357 A $33.59
J2358 A $2.92
J2407 A $23.37
J2425 A $19.16
J2426 A $9.96
J2469 A $22.05
J2502 A $263.27
J2503 A $1,054.70
J2504 A $345.23
J2505 A $4,247.25
J2507 A $1,998.85
J2510 A $26.77
J2515 A $48.22
J2547 A $1.63
J2562 A $314.23
J2597 A $12.40
J2670 A $1,600.40
J2724 A $15.17
J2730 A $87.94
J2760 A $328.88
J2770 A $438.30
J2778 A $380.89
J2783 A $259.25
J2786 A $8.85
J2792 A $23.86
J2793 A $24.09
J2794 A $8.54
J2796 A $66.58
J2820 A $37.82
J2840 A $530.00
J2850 A $34.78
J2860 A $92.56
J2941 A $81.59
J2993 A $2,301.91
J2997 A $83.48
J3060 A $40.38
J3070 A $74.13
J3090 A $1.32
J3095 A $5.08
J3101 A $110.04
J3240 A $1,564.25
J3243 A $3.27
J3246 A $8.86
J3262 A $4.37
J3285 A $61.24
J3300 A $3.89
J3315 A $279.36
J3355 A $132.66
J3357 A $183.25
J3365 A $262.79
J3380 A $18.06
J3385 A $342.19
J3396 A $10.76
J3465 A $3.26
J7175 A $6.83
J7178 A $1.15
J7179 A $2.27
J7180 A $8.19
J7181 A $14.94
J7182 A $1.31
J7183 A $1.04
J7185 A $1.27
J7186 A $0.94
J7187 A $1.09
J7188 A $4.08
J7189 A $1.98
J7190 A $0.98
J7191 A $0.20
J7192 A $1.22
J7193 A $1.12
J7194 A $1.40
J7195 A $1.50
J7196 A $103.35
J7197 A $3.22
J7198 A $1.93
J7200 A $1.28
J7201 A $2.98
J7202 A $4.14
J7205 A $2.03
J7207 A $1.77
J7209 A $1.61
J7308 A $367.81
J7309 A $83.69
J7310 A $11.71
J7311 A $20,143.25
J7312 A $200.76
J7313 A $490.95
J7316 A $1,046.75
J7321 A $85.54
J7322 A $16.16
J7323 A $152.33
J7324 A $142.72
J7325 A $12.69
J7326 A $558.13
J7327 A $867.39
J7328 A $2.18
J7340 A $2.15
J7342 A $29.95
J7501 A $246.47
J7503 A $1.24
J7504 A $1,754.67
J7505 A $231.22
J7511 A $706.13
J7513 A $10.00
J7525 A $185.24
J8501 A $9.49
J8510 A $24.83
J8560 A $74.08
J8650 A $38.20
J8655 A $431.50
J8670 A $2.25
J8700 A $1.87
J8705 A $103.78
J9015 A $3,067.64
J9017 A $70.94
J9019 A $402.74
J9025 A $2.10
J9027 A $151.96
J9031 A $128.68
J9032 A $35.26
J9033 A $28.91
J9034 A $23.55
J9035 A $74.84
J9039 A $102.30
J9041 A $46.84
J9042 A $139.75
J9043 A $156.92
J9047 A $32.14
J9050 A $3,862.48
J9055 A $57.49
J9065 A $21.22
J9070 A $42.16
J9098 A $611.40
J9120 A $1,370.08
J9145 A $48.61
J9150 A $41.16
J9151 A $243.80
J9155 A $3.65
J9171 A $1.80
J9176 A $6.28
J9179 A $109.61
J9200 A $73.88
J9202 A $326.01
J9205 A $40.29
J9207 A $74.09
J9208 A $27.26
J9211 A $39.28
J9213 A $32.23
J9214 A $28.44
J9216 A $6,308.13
J9217 A $202.12
J9218 A $25.73
J9219 A $168.48
J9225 A $3,203.11
J9226 A $27,749.07
J9228 A $144.67
J9230 A $292.89
J9245 A $1,468.85
J9261 A $152.01
J9262 A $2.85
J9263 A $0.18
J9264 A $10.75
J9266 A $13,915.10
J9268 A $2,057.09
J9271 A $47.18
J9280 A $121.45
J9293 A $37.87
J9295 A $5.33
J9299 A $26.42
J9301 A $58.78
J9302 A $54.84
J9303 A $109.40
J9305 A $64.74
J9306 A $11.11
J9307 A $247.60
J9308 A $56.56
J9310 A $842.40
J9315 A $319.45
J9320 A $319.04
J9325 A $47.06
J9328 A $8.80
J9330 A $69.98
J9340 A $851.00
J9351 A $1.08
J9352 A $286.43
J9354 A $29.79
J9355 A $96.63
J9357 A $1,161.95
J9371 A $2,600.36
J9395 A $96.18
J9400 A $8.05
J9600 A $21,219.57
P9041 A $11.80
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 $39,556.88
Q2049 A $508.43
Q2050 A $383.83
Q3027 A $50.26
Q4172 A $120.18
Q5101 A $0.73
Q5102 A $80.19
Q9950 A $21.09
Q9968 A $4.29
Q9982 A $3,498.00
Q9983 A $2,968.00
Q9986 A $27.20
Q9989 A $12.88
90371 A $108.24
90375 A $287.29
90376 A $313.97
90378 A $176.35
90396 A $1,306.75
90675 A $283.02
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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