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July 2019 3rd Quarter ASC Drug File

Effective 07.01.2019 – Revised 07.01.2020

HCPCS Code Status Indicator Amount
A9586 A $3,028.84
A9587 A $68.70
A9588 A $424.53
C9035 A $2.80
C9036 A $98.44
C9037 A $9.87
C9038 A $200.87
C9039 A $3.17
C9040 A $2.61
C9041 A $291.50
C9042 A $23.49
C9043 A $4.10
C9044 A $27.45
C9045 A $22.08
C9046 A $0.94
C9047 A $683.55
C9048 A $138.75
C9049 A $251.63
C9050 A $784.52
C9051 A $3.55
C9052 A $219.87
C9132 A $2.01
C9248 A $2.77
C9250 A $164.84
C9257 A $2.03
C9290 A $1.22
C9293 A $313.20
C9399 C $0.00
C9407 A $320.12
C9447 A $458.56
C9460 A $15.41
C9462 A $0.47
C9482 A $9.99
C9488 A $32.95
J0129 A $53.94
J0135 A $1,371.14
J0178 A $957.36
J0180 A $182.43
J0185 A $2.27
J0202 A $1,918.35
J0207 A $977.31
J0220 A $141.14
J0221 A $170.08
J0256 A $4.51
J0257 A $4.89
J0287 A $7.12
J0289 A $18.33
J0300 A $56.62
J0401 A $5.45
J0475 A $173.39
J0480 A $3,789.63
J0485 A $3.78
J0490 A $44.82
J0517 A $168.84
J0558 A $11.02
J0561 A $13.85
J0565 A $39.90
J0567 A $93.50
J0570 A $1,261.87
J0584 A $353.06
J0585 A $6.12
J0586 A $8.42
J0587 A $12.02
J0588 A $5.05
J0594 A $5.78
J0596 A $27.82
J0597 A $51.35
J0598 A $57.16
J0599 A $9.67
J0600 A $5,594.42
J0606 A $2.68
J0630 A $2,647.26
J0637 A $9.81
J0638 A $111.01
J0641 A $0.16
J0695 A $5.59
J0712 A $3.16
J0714 A $91.13
J0716 A $4,822.43
J0717 A $8.13
J0725 A $22.37
J0740 A $643.29
J0775 A $47.09
J0795 A $9.05
J0840 A $3,237.01
J0841 A $1,265.80
J0850 A $1,129.15
J0875 A $14.62
J0878 A $0.35
J0881 A $3.83
J0882 A $3.83
J0883 A $1.32
J0884 A $1.32
J0885 A $11.46
J0894 A $7.46
J0897 A $19.10
J1095 A $1.22
J1162 A $3,780.26
J1190 A $194.72
J1212 A $558.87
J1290 A $480.55
J1300 A $230.48
J1301 A $19.50
J1322 A $236.76
J1327 A $5.09
J1364 A $78.87
J1410 A $309.33
J1428 A $167.77
J1430 A $444.10
J1438 A $685.56
J1439 A $1.09
J1442 A $0.98
J1447 A $0.58
J1451 A $7.63
J1453 A $2.00
J1454 A $460.42
J1455 A $82.27
J1458 A $390.07
J1459 A $40.60
J1460 A $40.54
J1555 A $13.86
J1556 A $70.52
J1557 A $45.55
J1559 A $10.19
J1560 A $405.36
J1561 A $38.45
J1566 A $64.39
J1568 A $38.68
J1569 A $40.83
J1571 A $60.35
J1572 A $35.77
J1573 A $60.35
J1575 A $14.02
J1595 A $175.77
J1602 A $22.07
J1610 A $200.26
J1627 A $3.05
J1628 A $99.30
J1640 A $23.76
J1670 A $418.84
J1726 A $23.46
J1740 A $45.73
J1742 A $152.86
J1743 A $542.89
J1744 A $368.20
J1745 A $64.87
J1746 A $58.71
J1750 A $14.41
J1786 A $42.87
J1826 A $2,785.97
J1830 A $382.50
J1833 A $0.78
J1930 A $63.21
J1931 A $31.95
J1942 A $2.66
J1950 A $1,267.77
J2062 A $15.32
J2182 A $30.04
J2186 A $1.67
J2265 A $1.74
J2278 A $7.91
J2315 A $3.23
J2320 A $21.69
J2323 A $20.29
J2325 A $74.80
J2326 A $1,101.54
J2350 A $57.42
J2353 A $204.69
J2355 A $163.98
J2357 A $37.05
J2407 A $24.14
J2425 A $21.30
J2426 A $11.48
J2469 A $8.93
J2502 A $314.34
J2504 A $367.96
J2505 A $4,526.81
J2507 A $2,485.24
J2515 A $38.04
J2547 A $1.64
J2562 A $347.24
J2597 A $11.97
J2724 A $15.06
J2760 A $392.15
J2770 A $418.10
J2778 A $357.34
J2783 A $287.64
J2786 A $9.47
J2792 A $30.10
J2794 A $9.95
J2796 A $73.51
J2797 A $0.94
J2820 A $42.40
J2840 A $541.13
J2850 A $34.78
J2860 A $100.77
J2993 A $2,581.84
J2997 A $87.69
J3060 A $40.34
J3090 A $1.48
J3095 A $5.85
J3101 A $121.79
J3145 A $1.41
J3240 A $1,690.30
J3243 A $1.69
J3245 A $126.88
J3246 A $10.98
J3262 A $4.93
J3285 A $64.92
J3300 A $3.85
J3304 A $18.88
J3315 A $248.39
J3316 A $2,897.08
J3357 A $190.71
J3358 A $12.00
J3380 A $20.13
J3385 A $345.14
J3396 A $11.05
J3397 A $218.74
J3398 A $2,913.23
J7170 A $47.37
J7175 A $7.51
J7177 A $1.39
J7178 A $1.20
J7179 A $1.88
J7180 A $8.47
J7181 A $15.15
J7182 A $1.30
J7183 A $1.01
J7185 A $1.25
J7186 A $1.05
J7187 A $1.16
J7188 A $3.17
J7189 A $2.13
J7190 A $1.14
J7192 A $1.26
J7193 A $1.12
J7194 A $1.44
J7195 A $1.51
J7196 A $103.35
J7197 A $3.41
J7198 A $1.93
J7200 A $1.40
J7201 A $3.12
J7202 A $4.31
J7203 A $3.89
J7205 A $2.10
J7207 A $1.74
J7208 A $2.02
J7209 A $1.39
J7210 A $1.36
J7211 A $1.26
J7308 A $401.39
J7311 A $20,125.83
J7312 A $199.81
J7313 A $490.94
J7316 A $1,046.93
J7318 A $17.23
J7320 A $16.92
J7321 A $74.85
J7322 A $20.80
J7323 A $143.29
J7324 A $506.68
J7325 A $11.39
J7326 A $1,166.00
J7327 A $1,511.15
J7328 A $2.18
J7329 A $7.20
J7336 A $3.15
J7342 A $29.96
J7345 A $1.46
J7501 A $241.79
J7504 A $2,072.24
J7511 A $761.12
J7525 A $211.78
J8560 A $74.61
J8562 A $81.42
J8600 A $12.00
J8655 A $250.20
J8670 A $2.22
J9015 A $4,138.14
J9017 A $51.23
J9019 A $414.83
J9022 A $77.18
J9023 A $82.74
J9025 A $1.27
J9027 A $57.58
J9030 A $2.82
J9032 A $39.39
J9033 A $28.88
J9034 A $23.80
J9035 A $81.28
J9036 A $23.49
J9039 A $112.96
J9041 A $44.53
J9042 A $163.07
J9043 A $173.46
J9044 A $25.19
J9047 A $37.25
J9050 A $3,534.85
J9055 A $62.11
J9057 A $77.90
J9065 A $19.73
J9070 A $34.73
J9098 A $628.37
J9120 A $1,094.18
J9145 A $53.75
J9150 A $47.14
J9151 A $0.32
J9153 A $192.31
J9155 A $3.90
J9171 A $0.85
J9173 A $74.86
J9176 A $6.49
J9179 A $115.76
J9202 A $500.25
J9203 A $197.69
J9205 A $49.79
J9207 A $89.45
J9213 A $169.33
J9214 A $33.99
J9217 A $229.52
J9225 A $3,897.40
J9226 A $34,994.49
J9228 A $153.06
J9229 A $2,250.50
J9230 A $328.29
J9245 A $636.13
J9261 A $152.32
J9262 A $3.11
J9264 A $12.30
J9266 A $16,430.06
J9268 A $2,020.30
J9270 A $6.12
J9271 A $49.58
J9280 A $100.38
J9285 A $52.06
J9293 A $27.27
J9295 A $5.74
J9299 A $27.80
J9301 A $63.34
J9302 A $59.80
J9303 A $117.76
J9305 A $69.54
J9306 A $12.25
J9307 A $286.53
J9308 A $58.39
J9311 A $44.32
J9312 A $94.97
J9315 A $310.55
J9320 A $344.84
J9325 A $51.10
J9328 A $10.40
J9330 A $57.93
J9340 A $420.43
J9352 A $310.84
J9354 A $31.29
J9355 A $106.98
J9356 A $80.26
J9357 A $1,384.14
J9371 A $3,030.37
J9395 A $98.78
J9400 A $8.42
J9600 A $21,219.57
P9041 A $10.49
P9045 A $52.45
P9046 A $20.98
P9047 A $52.45
Q0138 A $1.00
Q0139 A $1.00
Q2017 A $2,645.71
Q2026 A $473.90
Q2028 A $3.28
Q2043 A $44,024.60
Q2049 A $470.40
Q2050 A $349.30
Q3027 A $53.89
Q4195 A $99.93
Q4196 A $104.48
Q5101 A $0.61
Q5103 A $51.32
Q5104 A $54.65
Q5105 A $1.02
Q5106 A $10.18
Q5107 A $69.77
Q5108 A $332.55
Q5110 A $0.69
Q5111 A $359.21
Q9950 A $19.74
Q9968 A $4.11
Q9991 A $1,674.80
Q9992 A $1,674.80
90371 A $118.20
90375 A $301.73
90376 A $285.66
90378 A $1,205.05
90396 A $1,687.54
90634 A $29.53
90675 A $294.53
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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