Ambulatory Payment Classifications →
section notes
Cancer/Chemotherapy Drugs →
section notes
0706   Inj talquetamab-tgvs 0.25 mg
0708   Inj, elranatamab-bcmm, 1 mg
0717   Instill adstiladrin, tx dose
0718   Inj, carmustine (accord)
0720   Inj glofitamab gxbm, 2.5 mg
0729   Inj, motixafortide, 0.25 mg
0730   Inj melphalan (hepzato) 1 mg
0741   Inj cyclophosphamd (ingenus)
0743   Inj, cyclophosphamide, nos
0757   Docetaxel (docivyx), 1 mg
0761   Inj, focinvez, 1mg
0767   Inj, nogapendekin pmln 1 mcg
0768   Inj, tarlatamab-dlle, 1 mg
0782   Inj, pemrydi rtu, 10 mg
0785   Inj, cyclophosphamd, sandoz
0804‑1761   Oral Medications
0816   Inj, tislelizumab-jsgr
0827   Floxuridine injection
0851   Thiotepa injection
0856   Porfimer sodium injection
1168   Inj, temsirolimus
1235   Valrubicin injection
1281‑9214   Bevacizumab injection
1471   Injection, Pertuzumab, 1 mg
1488   Injection, ramucirumab
1613   Trastuzumab injection
1822   Injection, zarxio
9026   Inj, bortezomib, dr. reddy?s
9027   Inj, bortezomib freseniuskab
9035   Axicabtagene ciloleucel car+
9048   Inj, alymsys, 10 mg
9050   Leuprolide inj, camcevi, 1mg
9054   Lutetium lu 177 vipivotide
9057   Inj nivol relatlimab 3mg/1mg
9067   Lutetium lu 177 dotatat ther
9080   Fludarabine phosphate inj
9102   Inj, fulvestrant (teva)
9103   Inj, fulvestrant (fresenius)
9105   Inj pemetrexed (teva) 10mg
9109   Inj, elahere, 1 mg
9110   Inj, tremelimumab-actl, 1 mg
9111   Inj teclistamab cqyv 0.5 mg
9114   Inj eflapegrastim-xnst 0.1mg
9118   Inj, fylnetra, 0.5 mg
9120   Injection, Fulvestrant
9123   Inj pemetrexed, hospira 10mg
9127   Inj pemetrexed (accord) 10mg
9129   Inj, stimufend, 0.5 mg
9131   Inj, Ado-trastuzumab Emt 1mg
9136   Leuprolide depot cipla 7.5mg
9150   Inj mosunetuzumab-axgb, 1 mg
9154   Inj, vivimusta, 1 mg
9156   Inj pemetrexed ditromethamin
9159   Inj, vegzelma, 10 mg
9193   Nivestym
9194   Tisagenlecleucel car-pos t
9203   Inj cyclophosphamd auromedic
9204   Inj tisotu vedotin-tftv, 1mg
9205   Inj lon tesirin-lpyl 0.075mg
9213   Inj. pemetrexed nos 10mg
9235   Panitumumab injection
9241   Inj sirolimus prot part 1 mg
9250   Inj epcoritamab-bysp 0.16 mg
9253   Temozolomide injection
9259   Pralatrexate injection
9260   Ofatumumab injection
9280   Inj, retifanlimab-dlwr, 1 mg
9296   Inj, ziv-aflibercept, 1mg
9390   Pertuzu, trastuzu, 10 mg
9391   Brexucabtagene car pos t
9413   lisocabtagene car pos t
9422   Idecabtagene vicleucel car
9428   Inj romidepsin non-lyo 0.1mg
9429   Inj romidepsin lyophil 0.1mg
9431   Inj, dostarlimab-gxly, 10 mg
9432   Inj, amivantamab-vmjw
9436   Inj pegfilgrast ex bio 0.5mg
9437   Inj, aspara, rylaze, 0.1 mg
9442   Inj. pemetrexed, 10 mg
9446   Inj, tebentafusp-tebn, 1 mcg
9447   Inj, releuko 1 mcg
9472   Inj talimogene laherparepvec
9480   Injection trabectedin 0.1mg
9498   Ciltacabtagene car-pos t
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