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Revised July 2020 3rd QTR ASC Drug File

Effective 07.01.2020 – Revised 07.01.2021

A9586 A $3,028.84
C9046 A $1.26
C9047 A $691.92
C9055 A $77.04
C9059 A $3.23
C9061 A $306.94
C9063 A $15.40
C9122 A $10.19
C9132 A $2.09
C9250 A $156.84
C9257 A $1.96
C9290 A $1.29
C9399 C $0.00
C9460 A $15.41
C9462 A $0.47
C9482 A $16.00
C9488 A $33.07
J0121 A $3.21
J0122 A $1.03
J0129 A $56.74
J0135 A $1,472.60
J0178 A $931.77
J0179 A $316.15
J0180 A $187.95
J0185 A $1.88
J0202 A $1,986.43
J0207 A $1,135.69
J0220 A $73.81
J0221 A $173.86
J0222 A $98.21
J0223 A $107.18
J0256 A $4.38
J0257 A $4.81
J0287 A $9.31
J0289 A $26.54
J0291 A $3.08
J0300 A $95.16
J0401 A $5.70
J0475 A $175.16
J0480 A $4,016.59
J0485 A $3.77
J0490 A $46.17
J0517 A $171.90
J0558 A $11.68
J0561 A $15.03
J0565 A $39.71
J0567 A $95.26
J0570 A $1,270.19
J0584 A $361.85
J0585 A $6.10
J0586 A $8.38
J0587 A $11.97
J0588 A $5.02
J0593 A $78.60
J0594 A $3.67
J0596 A $29.23
J0597 A $51.26
J0598 A $56.13
J0599 A $9.67
J0600 A $5,594.42
J0606 A $2.24
J0630 A $2,831.50
J0638 A $113.12
J0641 A $0.28
J0642 A $1.94
J0691 A $0.72
J0695 A $6.52
J0712 A $3.33
J0714 A $91.89
J0716 A $5,010.58
J0717 A $8.28
J0740 A $588.85
J0742 A $2.20
J0775 A $50.70
J0791 A $122.44
J0795 A $9.37
J0800 A $3,995.82
J0840 A $3,099.37
J0841 A $1,264.40
J0850 A $1,479.74
J0875 A $15.35
J0878 A $0.14
J0881 A $3.79
J0882 A $3.79
J0883 A $1.34
J0884 A $1.34
J0885 A $9.70
J0894 A $4.28
J0896 A $36.38
J0897 A $19.90
J1095 A $1.13
J1096 A $139.81
J1097 A $104.33
J1162 A $3,965.21
J1190 A $211.46
J1201 A $15.45
J1212 A $632.97
J1267 A $1.15
J1290 A $485.29
J1300 A $230.48
J1301 A $19.89
J1303 A $226.28
J1322 A $246.04
J1327 A $3.92
J1410 A $322.55
J1428 A $167.35
J1429 A $166.24
J1430 A $444.10
J1438 A $736.30
J1439 A $1.12
J1442 A $0.92
J1447 A $0.48
J1451 A $8.31
J1453 A $1.08
J1454 A $375.17
J1455 A $82.27
J1458 A $405.56
J1459 A $41.28
J1460 A $42.69
J1555 A $13.92
J1557 A $50.66
J1558 A $16.84
J1559 A $10.79
J1560 A $426.93
J1561 A $41.69
J1566 A $66.94
J1568 A $38.96
J1569 A $42.03
J1571 A $63.67
J1572 A $37.43
J1573 A $66.15
J1575 A $14.07
J1595 A $156.82
J1602 A $20.00
J1610 A $199.13
J1628 A $97.85
J1640 A $24.31
J1670 A $535.78
J1726 A $16.68
J1729 A $10.81
J1740 A $47.56
J1742 A $237.99
J1743 A $542.92
J1744 A $308.30
J1745 A $51.20
J1746 A $60.16
J1750 A $15.02
J1786 A $43.24
J1826 A $2,276.61
J1830 A $403.75
J1833 A $0.79
J1930 A $70.42
J1931 A $32.94
J1943 A $2.76
J1944 A $2.70
J1950 A $1,244.34
J2182 A $29.05
J2186 A $1.78
J2265 A $1.98
J2278 A $8.30
J2315 A $3.24
J2323 A $21.61
J2325 A $74.80
J2326 A $1,122.95
J2350 A $57.40
J2353 A $207.22
J2355 A $1.34
J2357 A $37.69
J2407 A $23.96
J2425 A $22.80
J2426 A $12.03
J2502 A $326.01
J2504 A $1,471.85
J2505 A $3,807.30
J2507 A $2,725.60
J2515 A $35.52
J2547 A $1.61
J2562 A $364.24
J2597 A $11.06
J2724 A $15.06
J2760 A $374.74
J2770 A $457.88
J2778 A $333.37
J2783 A $301.49
J2786 A $9.78
J2792 A $29.72
J2794 A $10.44
J2796 A $77.64
J2797 A $0.94
J2798 A $10.19
J2820 A $46.96
J2840 A $541.13
J2850 A $34.78
J2860 A $112.93
J2941 A $84.13
J2997 A $87.89
J3031 A $2.31
J3060 A $40.60
J3090 A $1.59
J3095 A $5.51
J3101 A $129.06
J3111 A $9.05
J3145 A $1.49
J3240 A $1,759.98
J3243 A $1.45
J3245 A $137.06
J3246 A $5.27
J3262 A $5.30
J3285 A $61.41
J3304 A $18.31
J3315 A $282.64
J3316 A $2,969.77
J3357 A $188.24
J3358 A $12.17
J3380 A $20.66
J3385 A $345.78
J3396 A $11.20
J3397 A $222.98
J3398 A $2,910.50
J7169 A $291.50
J7170 A $47.73
J7175 A $7.88
J7177 A $1.19
J7178 A $1.24
J7179 A $1.80
J7180 A $8.78
J7181 A $15.57
J7182 A $1.30
J7183 A $0.97
J7185 A $1.25
J7186 A $1.11
J7187 A $1.21
J7188 A $3.19
J7189 A $2.25
J7190 A $1.20
J7192 A $1.37
J7193 A $1.17
J7194 A $1.51
J7195 A $1.54
J7196 A $103.35
J7197 A $3.47
J7198 A $2.03
J7200 A $1.45
J7201 A $3.25
J7202 A $4.44
J7203 A $4.05
J7204 A $2.52
J7205 A $2.16
J7207 A $1.87
J7208 A $2.02
J7209 A $1.34
J7210 A $1.35
J7308 A $394.63
J7311 A $341.30
J7312 A $200.08
J7313 A $490.80
J7314 A $491.13
J7316 A $1,046.93
J7318 A $17.23
J7320 A $16.92
J7322 A $31.67
J7323 A $149.23
J7324 A $133.54
J7325 A $11.19
J7326 A $1,166.00
J7327 A $766.34
J7328 A $2.18
J7329 A $7.20
J7331 A $4.97
J7332 A $25.92
J7336 A $3.25
J7340 A $221.96
J7342 A $29.98
J7345 A $1.53
J7501 A $220.99
J7504 A $2,225.62
J7511 A $779.00
J7525 A $212.17
J8510 A $23.86
J8560 A $75.29
J8655 A $236.02
J8670 A $2.74
J9015 A $4,964.62
J9017 A $28.67
J9019 A $418.32
J9022 A $78.49
J9023 A $85.09
J9025 A $1.09
J9027 A $57.88
J9030 A $2.82
J9032 A $42.39
J9033 A $25.23
J9034 A $20.44
J9035 A $78.40
J9036 A $22.21
J9039 A $117.76
J9041 A $44.99
J9042 A $175.86
J9043 A $181.47
J9044 A $24.17
J9047 A $38.97
J9050 A $1,973.69
J9055 A $64.71
J9057 A $79.01
J9065 A $20.65
J9070 A $34.57
J9098 A $492.92
J9119 A $27.41
J9120 A $1,101.73
J9145 A $56.06
J9150 A $46.11
J9153 A $198.08
J9155 A $3.97
J9171 A $0.87
J9173 A $76.18
J9176 A $6.67
J9177 A $27.96
J9179 A $117.42
J9202 A $504.30
J9203 A $204.99
J9204 A $203.23
J9205 A $54.22
J9207 A $99.85
J9210 A $211.01
J9213 A $407.24
J9214 A $34.45
J9217 A $205.89
J9225 A $4,350.02
J9226 A $38,414.97
J9228 A $157.29
J9229 A $2,337.87
J9230 A $328.29
J9245 A $182.79
J9246 A $30.79
J9261 A $152.39
J9262 A $3.31
J9264 A $13.27
J9266 A $19,334.77
J9268 A $2,069.81
J9269 A $270.61
J9271 A $50.93
J9280 A $57.21
J9285 A $52.07
J9293 A $29.75
J9295 A $5.73
J9299 A $28.53
J9301 A $64.19
J9302 A $61.84
J9303 A $122.80
J9305 A $72.41
J9306 A $12.94
J9307 A $305.67
J9308 A $61.06
J9309 A $111.30
J9311 A $41.78
J9312 A $93.37
J9313 A $22.45
J9315 A $330.04
J9320 A $353.01
J9325 A $53.51
J9328 A $10.39
J9330 A $44.51
J9340 A $436.51
J9352 A $317.92
J9354 A $32.82
J9355 A $102.32
J9356 A $77.01
J9357 A $1,418.27
J9358 A $24.19
J9371 A $3,195.35
J9395 A $49.48
J9400 A $8.08
J9600 A $21,856.35
P9041 A $10.49
P9045 A $52.45
P9046 A $20.98
P9047 A $52.45
Q0138 A $1.06
Q0139 A $1.06
Q2009 A $1.85
Q2017 A $2,645.71
Q2026 A $222.09
Q2028 A $3.19
Q2043 A $47,617.87
Q2049 A $482.06
Q2050 A $317.70
Q3027 A $54.01
Q4195 A $103.10
Q4196 A $109.52
Q5101 A $0.48
Q5103 A $47.13
Q5104 A $48.64
Q5105 A $0.90
Q5106 A $8.97
Q5107 A $62.42
Q5108 A $294.34
Q5110 A $0.62
Q5111 A $301.80
Q5112 A $90.96
Q5113 A $96.31
Q5114 A $93.31
Q5115 A $69.19
Q5116 A $83.16
Q5117 A $80.92
Q5118 A $63.18
Q5119 A $73.83
Q5120 A $317.28
Q5121 A $51.50
Q9950 A $18.58
Q9968 A $7.27
Q9982 A $3,498.00
Q9983 A $2,968.00
Q9991 A $1,744.52
Q9992 A $1,744.52
90296 A $2,957.76
90371 A $115.89
90375 A $259.55
90376 A $297.61
90378 A $1,838.68
90396 A $1,703.97
90675 A $294.72
90676 A $227.53
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 2020 by the American Medical Association.

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