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Ambulatory Payment Classification (APC) Code List
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APC Code
Description
1590
New Technology - Level 39 ($15,001-$20,000)
1591
New Technology - Level 40 ($20,001-$25,000)
1592
New Technology - Level 41 ($25,001-$30,000)
1593
New Technology - Level 42 ($30,001-$40,000)
1594
New Technology - Level 43 ($40,001-$50,000)
1595
New Technology - Level 44 ($50,001-$60,000)
1596
New Technology - Level 45 ($60,001-$70,000)
1597
New Technology - Level 46 ($70,001-$80,000)
1598
New Technology - Level 47 ($80,001-$90,000)
1599
New Technology - Level 48 ($90,001-$100,000)
1608
Etanercept injection
1609
Rho(D) immune globulin h, sd
1613
Trastuzumab injection
1630
Hep b ig, im
1643
Y90 ibritumomab, rx
1656
Factor viii fc fusion recomb
1658
Injection, belinostat, 10mg
1660
Injection, oritavancin
1662
Inj tedizolid phosphate
1664
Florbetapir f18
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