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Procedure Procedure Code Desc Pricing …

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Physician Administered Drugs Current CrosswalkProcedure CodeProcedure code DescProcedure RatePricing DescriptionQ4100Skin substitute, NOS0Manual PriceQ4112Cymetra Fee ScheduleQ4114Integra flowable wound Fee ScheduleJ9202GOSERELIN ACETATE IMPLANT PER Fee ScheduleJ8530CYCLOPHOSPHAMLIDE; ORAL, Fee ScheduleJ2310INJ NALOXONE HCL PER Fee ScheduleJ1602Golimumab for iv use Fee ScheduleJ1720INJ., HYDROCORTISONE SOD SUCCINATE, Fee ScheduleJ1120INJ., ACETAZOLAMIDE SODIUM, UP TO 500 Fee ScheduleJ9600Porfimer sodium Fee ScheduleS4993CONTRACEPTIVE PILLS FOR Fee ScheduleJ7040INFUSION, NORMAL SALINE SOLUTION, 500 Fee ScheduleJ3411Thiamine hcl 100 Fee ScheduleJ3490UNCLASSIFIED DRUGS0Manual PriceJ0745INJECTION, CODEINE Fee ScheduleJ7306Levonorgestrel implant sys0Manual PriceJ7599IMMUNOSUPPRESSIVE DRUG

Current Crosswalk Procedure Code Procedure Code Desc Procedure Rate Pricing Description Q4100 Skin substitute, NOS 0 Manual Price ... Data - November 2015.

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