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APC

Ambulatory Payment Classification (APC) Code List

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APC Code
Description
1464
Factor viii (porcine)
1467
Factor ix recombinan rixubis
1468
Inj, abilify maintena, 1 mg
1469
Inj filgrastim excl biosimil
1471
Injection, Pertuzumab, 1 mg
1474
Certolizumab pegol inj 1mg
1475
Golimumab for iv use 1mg
1476
Obinutuzumab inj
1478
Inj human fibrinogen con nos
1480
Elosulfase alfa, injection
1482
Darbepoetin alfa, esrd use
1485
Ferumoxytol, esrd use
1486
Factor ix fc fusion recomb
1488
Injection, ramucirumab
1489
Inj vedolizumab iv 1 mg
1490
Inj pembrolizumab
1491
New Technology - Level 1A ($0-$10)
1492
New Technology - Level 1B ($11-$20)
1493
New Technology - Level 1C ($21-$30)
1494
New Technology - Level 1D ($31-$40)
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