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January 2019 1st QTR ASC Drug File

Effective 01/01/2019

HCPCS Code Status Indicator Amount
A9586 A $3,028.84
A9587 A $66.74
A9588 A $389.55
C9035 A $2.85
C9036 A $97.85
C9037 A $9.79
C9038 A $195.19
C9039 A $3.24
C9132 A $1.94
C9248 A $2.78
C9250 A $156.84
C9257 A $2.03
C9290 A $1.22
C9293 A $313.20
C9399 C $0.00
C9407 A $311.06
C9447 A $473.24
C9460 A $15.46
C9462 A $0.45
C9482 A $9.99
C9488 A $32.07
J0129 A $51.61
J0135 A $1,291.09
J0178 A $963.54
J0180 A $178.17
J0185 A $2.11
J0202 A $1,882.06
J0207 A $979.75
J0220 A $141.14
J0221 A $166.20
J0256 A $4.55
J0257 A $4.70
J0287 A $8.07
J0289 A $22.19
J0300 A $56.62
J0401 A $5.47
J0475 A $169.75
J0480 A $3,677.61
J0485 A $3.79
J0490 A $44.16
J0517 A $167.04
J0558 A $10.96
J0561 A $13.85
J0565 A $40.09
J0567 A $93.62
J0570 A $1,269.91
J0584 A $353.40
J0585 A $6.14
J0586 A $8.53
J0587 A $12.00
J0588 A $5.08
J0594 A $10.82
J0596 A $27.46
J0597 A $48.92
J0598 A $54.02
J0599 A $9.67
J0600 A $5,594.42
J0606 A $2.88
J0630 A $2,651.10
J0637 A $10.02
J0638 A $110.99
J0641 A $0.12
J0695 A $5.43
J0712 A $2.91
J0714 A $84.23
J0716 A $4,592.80
J0717 A $7.89
J0725 A $22.60
J0740 A $522.74
J0775 A $45.06
J0795 A $8.93
J0840 A $3,291.27
J0841 A $1,256.60
J0850 A $1,129.15
J0875 A $13.55
J0878 A $0.41
J0881 A $3.83
J0882 A $3.83
J0883 A $1.02
J0884 A $1.02
J0885 A $11.95
J0894 A $12.63
J0897 A $18.61
J1095 A $1.11
J1162 A $3,687.74
J1190 A $220.97
J1212 A $541.61
J1290 A $478.64
J1300 A $230.48
J1301 A $19.16
J1322 A $236.96
J1327 A $15.27
J1364 A $78.87
J1410 A $308.91
J1428 A $168.01
J1430 A $444.10
J1438 A $645.54
J1439 A $1.08
J1442 A $1.00
J1447 A $0.58
J1451 A $8.56
J1453 A $2.10
J1454 A $529.52
J1455 A $82.27
J1458 A $390.46
J1459 A $40.32
J1460 A $39.97
J1555 A $13.61
J1556 A $70.52
J1557 A $45.89
J1559 A $10.11
J1560 A $399.72
J1561 A $40.11
J1566 A $43.11
J1568 A $35.47
J1569 A $42.23
J1571 A $64.34
J1572 A $34.40
J1573 A $64.34
J1575 A $14.18
J1595 A $194.57
J1602 A $23.33
J1610 A $219.92
J1627 A $3.19
J1628 A $97.92
J1640 A $22.98
J1670 A $418.61
J1726 A $24.56
J1740 A $55.44
J1742 A $235.48
J1743 A $542.92
J1744 A $363.39
J1745 A $76.65
J1746 A $58.64
J1750 A $13.62
J1786 A $42.12
J1826 A $2,785.97
J1830 A $370.82
J1833 A $0.75
J1930 A $58.77
J1931 A $31.22
J1942 A $2.57
J1950 A $1,188.99
J2062 A $14.71
J2182 A $29.50
J2186 A $1.66
J2265 A $1.65
J2278 A $7.73
J2315 A $3.25
J2320 A $21.69
J2323 A $19.73
J2325 A $74.80
J2326 A $1,101.72
J2350 A $57.37
J2353 A $197.88
J2355 A $163.98
J2357 A $37.05
J2407 A $23.66
J2425 A $20.22
J2426 A $10.94
J2469 A $14.95
J2502 A $290.28
J2504 A $367.96
J2505 A $4,681.81
J2507 A $2,361.05
J2515 A $48.29
J2547 A $1.61
J2562 A $330.48
J2597 A $12.46
J2724 A $15.13
J2760 A $379.64
J2770 A $417.76
J2778 A $363.98
J2783 A $279.82
J2786 A $9.34
J2792 A $27.78
J2794 A $9.41
J2796 A $71.61
J2797 A $0.94
J2820 A $38.96
J2840 A $541.13
J2850 A $34.78
J2860 A $95.38
J2993 A $504.98
J2997 A $87.75
J3060 A $40.34
J3090 A $1.42
J3095 A $5.55
J3101 A $121.81
J3145 A $1.36
J3240 A $1,653.59
J3243 A $1.87
J3246 A $7.72
J3262 A $4.93
J3285 A $66.13
J3300 A $3.86
J3304 A $18.88
J3315 A $244.50
J3316 A $2,875.19
J3357 A $184.05
J3358 A $12.19
J3380 A $20.04
J3385 A $345.62
J3396 A $10.98
J3397 A $218.77
J3398 A $2,941.50
J7170 A $48.60
J7175 A $7.17
J7177 A $1.07
J7178 A $1.17
J7179 A $1.96
J7180 A $8.21
J7181 A $14.82
J7182 A $1.33
J7183 A $1.02
J7185 A $1.22
J7186 A $1.00
J7187 A $1.13
J7188 A $3.05
J7189 A $2.08
J7190 A $1.08
J7192 A $1.30
J7193 A $1.14
J7194 A $1.43
J7195 A $1.50
J7197 A $3.50
J7198 A $2.00
J7200 A $1.31
J7201 A $3.00
J7202 A $4.31
J7203 A $3.65
J7205 A $2.01
J7207 A $1.69
J7209 A $1.34
J7210 A $1.36
J7211 A $1.27
J7308 A $404.59
J7311 A $20,142.37
J7312 A $200.10
J7313 A $490.66
J7316 A $1,046.93
J7318 A $17.23
J7320 A $7.20
J7321 A $79.91
J7322 A $19.26
J7323 A $141.03
J7324 A $146.91
J7325 A $11.86
J7326 A $1,057.88
J7327 A $791.24
J7328 A $2.18
J7329 A $6.99
J7336 A $3.15
J7342 A $29.97
J7345 A $1.37
J7501 A $238.89
J7504 A $2,066.12
J7511 A $731.32
J7525 A $206.01
J8560 A $75.76
J8600 A $12.00
J8655 A $282.83
J8670 A $1.31
J9015 A $4,138.14
J9017 A $76.91
J9019 A $414.82
J9022 A $77.76
J9023 A $81.81
J9025 A $1.31
J9027 A $94.93
J9031 A $140.26
J9032 A $38.24
J9033 A $30.27
J9034 A $23.83
J9035 A $81.18
J9039 A $110.15
J9041 A $45.61
J9042 A $156.72
J9043 A $168.31
J9044 A $35.67
J9047 A $36.30
J9050 A $4,052.35
J9055 A $60.57
J9057 A $77.46
J9065 A $21.88
J9070 A $37.82
J9098 A $628.37
J9120 A $1,455.38
J9145 A $52.30
J9150 A $48.17
J9153 A $190.32
J9155 A $3.80
J9171 A $1.35
J9173 A $73.85
J9176 A $6.40
J9179 A $115.31
J9202 A $501.21
J9203 A $194.01
J9205 A $45.65
J9207 A $76.90
J9213 A $169.33
J9214 A $34.03
J9217 A $236.15
J9225 A $3,659.73
J9226 A $31,864.23
J9228 A $150.90
J9229 A $2,208.27
J9230 A $320.09
J9245 A $804.63
J9261 A $152.02
J9262 A $2.98
J9264 A $11.87
J9266 A $15,061.17
J9268 A $2,017.33
J9270 A $6.12
J9271 A $48.99
J9280 A $125.07
J9285 A $51.04
J9293 A $27.58
J9295 A $5.61
J9299 A $27.50
J9301 A $64.62
J9302 A $58.49
J9303 A $114.70
J9305 A $68.11
J9306 A $12.20
J9307 A $276.23
J9308 A $57.62
J9311 A $46.64
J9312 A $95.40
J9315 A $316.78
J9320 A $346.38
J9325 A $50.05
J9328 A $10.46
J9330 A $65.56
J9340 A $761.59
J9352 A $300.63
J9354 A $31.22
J9355 A $107.00
J9357 A $1,331.12
J9371 A $2,916.62
J9395 A $97.49
J9400 A $8.08
J9600 A $21,219.57
P9041 A $10.49
P9045 A $52.45
P9046 A $20.98
P9047 A $52.45
Q0138 A $1.01
Q0139 A $1.01
Q2017 A $2,583.97
Q2041 A $95,380.00
Q2042 A $39,388.31
Q2043 A $42,616.29
Q2049 A $470.40
Q2050 A $381.33
Q3027 A $53.63
Q4195 A $120.78
Q4196 A $120.78
Q5101 A $0.64
Q5103 A $57.28
Q5104 A $61.90
Q5105 A $1.14
Q5106 A $11.36
Q5108 A $358.35
Q5110 A $0.75
Q5111 A $358.35
Q9950 A $21.25
Q9968 A $4.27
Q9991 A $1,674.80
Q9992 A $1,674.80
90371 A $119.54
90375 A $307.02
90376 A $311.99
90378 A $1,205.05
90396 A $1,541.50
90675 A $289.98
90676 A $130.01
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 2019 by the American Medical Association.

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