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Ambulatory Payment Classification (APC) Code List

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APC Code
Description
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)
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
1670
Tetanus immune globulin inj
1675
P32 na phosphate
1683
Basiliximab
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