A9576 - Injection, gadoteridol, (prohance multipack), per ml |
1 ML |
1.46 |
- |
- |
- |
- |
- |
- |
|
|
A9577 - Injection, gadobenate dimeglumine (multihance), per ml |
1 ML |
1.824 |
- |
- |
- |
- |
- |
- |
|
|
A9578 - Injection, gadobenate dimeglumine (multihance multipack), per ml |
1 ML |
1.793 |
- |
- |
- |
- |
- |
- |
|
|
A9579 - Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
1 ML |
1.484 |
- |
- |
- |
- |
- |
- |
|
|
A9581 - Injection, gadoxetate disodium, 1 ml |
1 ML |
14.701 |
- |
- |
- |
- |
- |
- |
|
|
A9585 - Injection, gadobutrol, 0.1 ml |
0.1 ML |
0.278 |
- |
- |
- |
- |
- |
- |
|
|
A9589 - Instillation, hexaminolevulinate hydrochloride, 100 mg |
100 MG |
1378.71 |
- |
- |
- |
- |
- |
- |
|
|
A9606 - Radium ra-223 dichloride, therapeutic, per microcurie |
1 microCurie |
N/A |
- |
- |
- |
- |
- |
- |
|
|
J0121 - Injection, omadacycline, 1 mg |
1 MG |
3.916 |
- |
- |
- |
- |
- |
- |
|
|
J0122 - Injection, eravacycline, 1 mg |
1 MG |
1.21 |
- |
- |
- |
- |
- |
- |
|
|
J0129 - Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) |
10 MG |
43.797 |
- |
- |
- |
- |
- |
- |
|
|
J0131 - Injection, acetaminophen, not otherwise specified,10 mg |
10 MG |
0.048 |
- |
- |
- |
- |
- |
- |
|
|
J0132 - Injection, acetylcysteine, 100 mg |
100 MG |
0.545 |
- |
- |
- |
- |
- |
- |
|
|
J0133 - Injection, acyclovir, 5 mg |
5 MG |
0.051 |
- |
- |
- |
- |
- |
- |
|
|
J0134 - Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg |
10 MG |
0.042 |
- |
- |
- |
- |
- |
- |
|
|
J0136 - Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg |
10 MG |
0.049 |
- |
- |
- |
- |
- |
- |
|
|
J0137 - Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg |
10 MG |
0.048 |
- |
- |
- |
- |
- |
- |
|
|
J0153 - Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) |
1 MG |
0.316 |
- |
- |
- |
- |
- |
- |
|
|
J0171 - Injection, adrenalin, epinephrine, 0.1 mg |
0.1 MG |
0.762 |
- |
- |
- |
- |
- |
- |
|
|
J0172 - Injection, aducanumab-avwa, 2 mg |
2 MG |
5.978 |
- |
- |
- |
- |
- |
- |
|
|
J0173 - Injection, epinephrine (belcher), not therapeutically equivalent to j0171, 0.1 mg |
0.1 MG |
2.384 |
- |
- |
- |
- |
- |
- |
|
|
J0174 - Injection, lecanemab-irmb, 1 mg |
1 MG |
1.33 |
- |
- |
- |
- |
- |
- |
|
|
J0175 - Injection, donanemab-azbt, 2 mg |
2 MG |
4.094 |
- |
- |
- |
- |
- |
- |
|
|
J0177 - Injection, aflibercept hd, 1 mg |
1 MG |
329.056 |
- |
- |
- |
- |
- |
- |
|
|
J0178 - Injection, aflibercept, 1 mg |
1 MG |
801.065 |
- |
- |
- |
- |
- |
- |
|
|