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October 2018 4th QTR ASC Drug File

Effective 10.01.2018 – Revised 04.01.2019

HCPCS Code Status Indicator Amount
A9515 A $5,700.00
A9586 A $3,023.16
A9587 A $66.74
A9588 A $389.55
C9014 A $95.40
C9015 A $9.67
C9016 A $2,826.67
C9024 A $186.70
C9028 A $2,202.44
C9029 A $101.87
C9030 A $77.90
C9032 A $2,963.29
C9033 A $540.60
C9034 A $1.11
C9132 A $1.93
C9250 A $175.12
C9257 A $1.98
C9293 A $313.31
C9399 C $0.00
C9447 A $473.24
C9460 A $15.46
C9462 A $0.46
C9463 A $2.10
C9464 A $0.94
C9465 A $1,033.50
C9466 A $167.47
C9467 A $45.72
C9468 A $3.88
C9482 A $9.99
C9488 A $31.10
C9492 A $73.97
C9493 A $19.18
C9497 A $150.80
J0129 A $52.93
J0135 A $1,291.09
J0178 A $967.33
J0180 A $175.62
J0202 A $1,842.13
J0207 A $973.41
J0220 A $159.63
J0221 A $163.83
J0256 A $4.46
J0257 A $4.65
J0287 A $17.72
J0289 A $48.07
J0300 A $46.33
J0400 A $0.76
J0401 A $5.24
J0470 A $54.42
J0475 A $176.02
J0476 A $54.66
J0480 A $3,686.13
J0485 A $3.81
J0490 A $44.16
J0561 A $13.90
J0565 A $40.16
J0570 A $1,260.23
J0585 A $6.14
J0586 A $8.42
J0587 A $12.03
J0588 A $5.08
J0594 A $10.37
J0596 A $27.65
J0597 A $48.94
J0598 A $54.26
J0600 A $5,594.42
J0606 A $2.98
J0630 A $2,629.53
J0637 A $12.64
J0638 A $111.00
J0641 A $0.24
J0695 A $5.46
J0712 A $2.89
J0714 A $84.25
J0716 A $4,592.80
J0717 A $8.11
J0740 A $478.07
J0775 A $45.05
J0795 A $8.59
J0800 A $3,984.76
J0840 A $3,250.52
J0850 A $1,129.15
J0875 A $14.35
J0878 A $0.32
J0881 A $3.77
J0882 A $3.77
J0883 A $1.23
J0884 A $1.23
J0885 A $12.27
J0888 A $1.74
J0894 A $14.07
J0897 A $18.58
J1110 A $73.47
J1130 A $0.22
J1162 A $3,688.29
J1190 A $229.93
J1212 A $535.99
J1290 A $477.96
J1300 A $230.48
J1322 A $236.63
J1327 A $16.28
J1364 A $78.87
J1410 A $308.63
J1428 A $168.12
J1430 A $444.10
J1438 A $645.54
J1439 A $1.06
J1442 A $1.02
J1447 A $0.58
J1451 A $7.41
J1453 A $2.19
J1455 A $82.27
J1458 A $389.95
J1459 A $39.63
J1460 A $38.05
J1555 A $13.40
J1556 A $70.52
J1557 A $52.06
J1559 A $9.86
J1560 A $380.48
J1561 A $39.49
J1566 A $37.95
J1568 A $36.72
J1569 A $43.14
J1571 A $64.22
J1572 A $35.07
J1573 A $64.22
J1575 A $14.13
J1595 A $201.17
J1602 A $24.01
J1610 A $214.39
J1627 A $3.58
J1640 A $23.03
J1670 A $255.70
J1726 A $27.93
J1740 A $56.24
J1742 A $240.76
J1743 A $536.56
J1744 A $359.00
J1745 A $78.83
J1750 A $14.06
J1786 A $41.45
J1826 A $604.40
J1830 A $379.63
J1833 A $0.85
J1930 A $58.84
J1931 A $30.78
J1942 A $2.44
J1950 A $1,193.67
J2182 A $29.58
J2265 A $1.57
J2278 A $7.59
J2315 A $3.26
J2320 A $72.58
J2323 A $19.83
J2325 A $73.34
J2326 A $1,101.87
J2350 A $57.34
J2353 A $198.51
J2355 A $426.92
J2357 A $37.07
J2407 A $23.08
J2425 A $20.29
J2426 A $10.94
J2469 A $17.14
J2502 A $289.62
J2503 A $713.86
J2504 A $367.96
J2505 A $4,687.71
J2507 A $2,334.59
J2515 A $47.08
J2547 A $1.62
J2562 A $330.41
J2597 A $12.60
J2724 A $15.15
J2760 A $392.84
J2770 A $418.37
J2778 A $373.36
J2783 A $278.15
J2786 A $9.30
J2792 A $27.02
J2793 A $24.09
J2794 A $9.41
J2796 A $71.40
J2820 A $37.61
J2840 A $541.13
J2850 A $34.78
J2860 A $95.35
J2941 A $74.65
J2993 A $2,301.91
J2997 A $87.78
J3060 A $40.39
J3070 A $108.39
J3090 A $1.43
J3095 A $5.47
J3101 A $121.76
J3145 A $1.36
J3240 A $1,624.45
J3243 A $2.06
J3246 A $8.26
J3262 A $4.73
J3285 A $66.14
J3300 A $3.86
J3315 A $267.38
J3357 A $191.03
J3358 A $12.28
J3380 A $19.58
J3385 A $345.39
J3396 A $10.95
J3465 A $1.90
J7175 A $7.17
J7178 A $1.16
J7179 A $2.02
J7180 A $8.23
J7181 A $14.91
J7182 A $1.34
J7183 A $1.01
J7185 A $1.22
J7186 A $0.99
J7187 A $1.12
J7188 A $2.85
J7189 A $2.06
J7190 A $1.07
J7192 A $1.33
J7193 A $1.12
J7194 A $1.42
J7195 A $1.51
J7197 A $3.49
J7198 A $2.08
J7200 A $1.30
J7201 A $2.99
J7202 A $4.28
J7205 A $2.01
J7207 A $1.72
J7209 A $1.42
J7210 A $1.36
J7211 A $1.26
J7308 A $404.59
J7311 A $20,130.50
J7312 A $200.17
J7313 A $490.33
J7316 A $1,040.50
J7320 A $10.60
J7321 A $85.30
J7322 A $19.26
J7323 A $141.47
J7324 A $147.79
J7325 A $11.83
J7326 A $537.36
J7327 A $779.35
J7328 A $2.18
J7336 A $3.16
J7340 A $2.14
J7342 A $29.98
J7345 A $1.38
J7501 A $229.36
J7503 A $1.26
J7504 A $2,081.22
J7505 A $6.80
J7511 A $751.25
J7525 A $205.62
J8501 A $6.72
J8560 A $75.56
J8655 A $301.94
J8670 A $2.21
J8705 A $103.65
J9015 A $4,138.14
J9017 A $77.03
J9019 A $414.83
J9022 A $76.91
J9023 A $81.82
J9025 A $1.47
J9027 A $111.29
J9031 A $140.62
J9032 A $37.74
J9033 A $30.58
J9034 A $23.84
J9035 A $79.25
J9039 A $110.37
J9041 A $45.55
J9042 A $150.48
J9043 A $167.99
J9047 A $36.32
J9050 A $4,051.50
J9055 A $60.63
J9065 A $22.64
J9070 A $41.61
J9098 A $628.37
J9120 A $1,427.67
J9145 A $52.41
J9150 A $50.66
J9155 A $3.72
J9171 A $1.51
J9176 A $6.42
J9179 A $114.34
J9185 A $59.94
J9202 A $509.02
J9203 A $193.16
J9205 A $45.53
J9207 A $70.99
J9211 A $34.26
J9214 A $34.15
J9217 A $228.41
J9218 A $27.17
J9225 A $3,610.32
J9226 A $31,835.05
J9228 A $150.87
J9230 A $321.72
J9245 A $814.80
J9261 A $152.21
J9262 A $2.98
J9264 A $11.60
J9266 A $15,028.71
J9268 A $2,096.29
J9271 A $49.35
J9280 A $134.25
J9285 A $51.04
J9293 A $27.36
J9295 A $5.57
J9299 A $27.54
J9301 A $62.63
J9302 A $58.55
J9303 A $114.38
J9305 A $68.22
J9306 A $11.87
J9307 A $271.61
J9308 A $57.68
J9310 A $919.85
J9315 A $322.58
J9320 A $348.71
J9325 A $49.99
J9328 A $10.55
J9330 A $73.75
J9340 A $741.58
J9352 A $300.67
J9354 A $30.78
J9355 A $104.12
J9357 A $1,328.67
J9371 A $2,916.62
J9395 A $97.94
J9400 A $8.32
J9600 A $21,219.57
P9041 A $10.49
P9045 A $52.45
P9046 A $20.98
P9047 A $52.45
Q0138 A $0.98
Q0139 A $0.98
Q2009 A $4.40
Q2017 A $2,575.15
Q2043 A $43,419.43
Q2050 A $383.57
Q3027 A $54.11
Q4172 A $120.78
Q5101 A $0.64
Q5103 A $61.36
Q5104 A $64.38
Q5105 A $1.17
Q5106 A $11.69
Q5108 A $368.79
Q5110 A $0.77
Q9950 A $21.25
Q9968 A $3.86
Q9982 A $3,498.00
Q9983 A $2,968.00
Q9991 A $1,674.80
Q9992 A $1,674.80
Q9993 A $18.88
Q9995 A $48.86
90371 A $112.33
90375 A $334.99
90376 A $324.95
90378 A $1,514.17
90396 A $1,491.37
90675 A $291.44
90676 A $196.54
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 2018 by the American Medical Association.

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