Description Max Qty Rate Comments

PRESCRIBED DRUGS PHYSICIAN ADMINISTERED FEE …

Jan 01, 2019 · code description max qty rate comments/notes prescribed drugs physician administered fee schedule 2019 j0670 mepivacaine hcl per 10ml 10 1.61 j0690 cefazolin sodium 500mg 12 0.83 j0692 cefepime hcl 500mg 17 2.47 j0694 cefoxitin sodium 1gm 8 3.54 j0696 ceftriaxone sodium per 250mg 16 0.59 j0697 sterile cefuroxime sodium per 750mg 4 1.96

  Rates, Descriptions, Comments, Description max qty rate comments