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97732f74-96a1-4bb1-afbb-1545f50fc384.aspx
  
08.00.62nAbatacept(Orencia®)forInjectionforIntravenousUse08.00.62nPharmacy (08)Abatacept (Orencia®) for Injection for Intravenous Use97732f74-96a1-4bb1-afbb-1545f50fc3844255Abatacept (Orencia®) for Injection for Intravenous Use08.00.62
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12.00.01gAcupuncture(Independence)12.00.01gMiscellaneous (12)Acupuncture (Independence)fc255320-d8a8-4ee8-9b33-79422324d3a84498Acupuncture (Independence)12.00.01
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08.01.11gAdo-TrastuzumabEmtansine(Kadcyla®)08.01.11gPharmacy (08)Ado-Trastuzumab Emtansine (Kadcyla®)7d2c9273-a6c7-4c55-829b-131f19dcc5363832Ado-Trastuzumab Emtansine (Kadcyla®)08.01.11
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08.00.69cAgalsidasebeta(Fabrazyme®)08.00.69cPharmacy (08)Agalsidase beta (Fabrazyme®)8d58c8ea-0ea8-4718-8161-db431f914dfd4113Agalsidase beta (Fabrazyme®)08.00.69
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12.04.03cAirAmbulanceServices12.04.03cMiscellaneous (12)Air Ambulance Services225d3101-03b1-4bcf-bbb9-96b94e93d8973340Air Ambulance Services12.04.03
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07.00.21jAllergyImmunotherapy07.00.21jMedicine (07)Allergy Immunotherapyed39b1c3-6d7a-468f-a34f-d38ae5a9c7b93158Allergy Immunotherapy07.00.21
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08.01.88AllogeneicProcessedThymusTissue-agdc(Rethymic®)08.01.88Pharmacy (08)Allogeneic Processed Thymus Tissue-agdc (Rethymic®)87fbd717-0d87-4e63-b5c6-86d241ad32d64140Allogeneic Processed Thymus Tissue-agdc (Rethymic®)08.01.88
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06.02.29dAlloMap™MolecularExpressionTestingforHeartTransplantRejection(IndependenceAdministrators)06.02.29dPathology and Laboratory (06)AlloMap™ Molecular Expression Testing for Heart Transplant Rejection (Independence Administrators)d04fc2b5-4ae4-48bb-9c70-154178ffb3ee4426AlloMap™ Molecular Expression Testing for Heart Transplant Rejection (Independence Administrators)06.02.29
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08.00.91eAlpha1-AntitrypsinTherapy(e.g.,Prolastin-C®,AralastNP®,Glassia®,Zemaira®)08.00.91ePharmacy (08)Alpha 1-Antitrypsin Therapy (e.g., Prolastin-C®, Aralast NP®, Glassia®, Zemaira®)cd609c07-1e33-4d4a-8c08-24fb11b0ecea4244Alpha 1-Antitrypsin Therapy (e.g., Prolastin-C®, Aralast NP®, Glassia®, Zemaira®)08.00.91
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00.01.52pAlwaysBundledProcedureCodes00.01.52pAdministrative (00)Always Bundled Procedure Codes2f22690e-8261-4414-bca3-01ceddede7e34146Always Bundled Procedure Codes00.01.52
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07.02.21iAmbulatoryElectrocardiography(AECG)MonitoringandMobileCardiacOutpatientTelemetry(MCOT)Monitoring07.02.21iMedicine (07)Ambulatory Electrocardiography (AECG) Monitoring and Mobile Cardiac Outpatient Telemetry (MCOT) Monitoring17201944-b4c0-453b-93b0-68f9d418e3284550Ambulatory Electrocardiography (AECG) Monitoring and Mobile Cardiac Outpatient Telemetry (MCOT) Monitoring07.02.21
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01.00.12aAnesthesiaServicesforEpidural,ParavertebralFacetandSacroiliacJointInjectionsforSpinalJointManagement01.00.12aAnesthesia (01)Anesthesia Services for Epidural, Paravertebral Facet and Sacroiliac Joint Injections for Spinal Joint Management69487ca2-3405-418a-86be-2ac389c4e82e4563Anesthesia Services for Epidural, Paravertebral Facet and Sacroiliac Joint Injections for Spinal Joint Management01.00.12
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08.01.82bAnifrolumab-fnia(Saphnelo™)08.01.82bPharmacy (08)Anifrolumab-fnia (Saphnelo™)2fdd9022-2641-49f8-ae4f-b09593402c694246Anifrolumab-fnia (Saphnelo™)08.01.82
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05.00.39rAnkle-Foot/Knee-Ankle-FootOrthoses05.00.39rDME (05)Ankle-Foot/Knee-Ankle-Foot Orthosescf9faf96-487d-47c2-bd76-bc70fd056a333409Ankle-Foot/Knee-Ankle-Foot Orthoses05.00.39
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06.03.04nApheresisTherapy06.03.04nPathology and Laboratory (06)Apheresis Therapy36aee0bb-d271-4e94-8256-eafdfce453972774Apheresis Therapy06.03.04
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11.08.05gApplicationandRemovalofTattoos11.08.05gSurgery (11)Application and Removal of Tattoosf0e9fbf8-0357-4a99-8c55-0e6a960173ce4193Application and Removal of Tattoos11.08.05
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08.01.41cAprepitant(Cinvanti™),FosaprepitantDimeglumine(Emend®),Granisetron(Sustol®),andRolapitant(Varubi®)08.01.41cPharmacy (08)Aprepitant (Cinvanti™), Fosaprepitant Dimeglumine (Emend®), Granisetron (Sustol®), and Rolapitant (Varubi®)202addae-a8d3-482f-b7b2-e3af034fa3553470Aprepitant (Cinvanti™), Fosaprepitant Dimeglumine (Emend®), Granisetron (Sustol®), and Rolapitant (Varubi®)08.01.41
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11.05.16kAqueousShunts,Microstents,Viscocanalostomy,andCanaloplastyfortheTreatmentofGlaucoma11.05.16kSurgery (11)Aqueous Shunts, Microstents, Viscocanalostomy, and Canaloplasty for the Treatment of Glaucoma1bacff46-edeb-4337-8a48-c111893afc264319Aqueous Shunts, Microstents, Viscocanalostomy, and Canaloplasty for the Treatment of Glaucoma11.05.16
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9c0d7079-1523-4cbe-af8e-2ef84e1d7d33.aspx
  
11.14.19pArtificialIntervertebralCervicalDiscInsertion(IndependenceAdministrators)11.14.19pSurgery (11)Artificial Intervertebral Cervical Disc Insertion (Independence Administrators)9c0d7079-1523-4cbe-af8e-2ef84e1d7d334375Artificial Intervertebral Cervical Disc Insertion (Independence Administrators)11.14.19
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11.15.31aArtificialIntervertebralLumbarDiscInsertion11.15.31aSurgery (11)Artificial Intervertebral Lumbar Disc Insertionb4ddadc5-a07b-4a13-8bd5-e7d8968d3ffa4404Artificial Intervertebral Lumbar Disc Insertion11.15.31
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08.01.35fAsparaginaseErwiniaChrysanthemi(Erwinaze®),asparaginaseerwiniachrysanthemi(recombinant)-rywn(Rylaze™)08.01.35fPharmacy (08)Asparaginase Erwinia Chrysanthemi (Erwinaze®), asparaginase erwinia chrysanthemi (recombinant)-rywn (Rylaze™)6160580f-3e49-4886-a470-2c0b3f1203a04488Asparaginase Erwinia Chrysanthemi (Erwinaze®), asparaginase erwinia chrysanthemi (recombinant)-rywn (Rylaze™)08.01.35
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06.02.27nAssaysofGeneticExpressioninTumorTissueforBreastCancerPrognosis(IndependenceAdministrators)06.02.27nPathology and Laboratory (06)Assays of Genetic Expression in Tumor Tissue for Breast Cancer Prognosis (Independence Administrators)faea9ca0-5aaf-4df6-b345-ecb509a725f64445Assays of Genetic Expression in Tumor Tissue for Breast Cancer Prognosis (Independence Administrators)06.02.27
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07.10.06iAssistedReproductiveTechnologyforInfertilityandOocyteCryopreservation07.10.06iMedicine (07)Assisted Reproductive Technology for Infertility and Oocyte Cryopreservationa27db102-bd23-420f-a9fd-c5c995a63b0a3779Assisted Reproductive Technology for Infertility and Oocyte Cryopreservation07.10.06
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08.01.69bAtezolizumab(Tecentriq®)08.01.69bPharmacy (08)Atezolizumab (Tecentriq®)676d5b29-8a79-4b13-b40b-0c52774693ce4053Atezolizumab (Tecentriq®)08.01.69
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05.00.29mAutomaticExternalCardioverterDefibrillators(WearableandNonwearable)05.00.29mDME (05)Automatic External Cardioverter Defibrillators (Wearable and Nonwearable)515bf165-ff9a-4fde-b6e3-67ac1578f1b54551Automatic External Cardioverter Defibrillators (Wearable and Nonwearable)05.00.29
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07.03.23fAutonomicNervousSystemTesting07.03.23fMedicine (07)Autonomic Nervous System Testingecef3304-1ce0-4dd0-b3cf-e53e85a6e35d4573Autonomic Nervous System Testing07.03.23
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08.01.64aAvelumab(Bavencio®)08.01.64aPharmacy (08)Avelumab (Bavencio®)24beb3c0-be00-4c64-b472-cc607163e0e43955Avelumab (Bavencio®)08.01.64
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11.03.02tBariatricSurgery11.03.02tSurgery (11)Bariatric Surgerye2e22104-ada2-4d84-9c71-c600f1ea170e2791Bariatric Surgery11.03.02
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08.01.70bBelantamabmafodotin-blmf(Blenrep)08.01.70bPharmacy (08)Belantamab mafodotin-blmf (Blenrep)2a68daca-621e-4826-8bcf-e5212ad5e2c14215Belantamab mafodotin-blmf (Blenrep)08.01.70
7d21a876-9c51-43f5-b1f2-8eee2bfcf351.aspx
  
08.00.99dBelimumab(Benlysta®)forIntravenousUse08.00.99dPharmacy (08)Belimumab (Benlysta®) for Intravenous Use7d21a876-9c51-43f5-b1f2-8eee2bfcf3514042Belimumab (Benlysta®) for Intravenous Use08.00.99
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08.00.66rBevacizumab(Avastin®)andRelatedBiosimilarsForOncologicUse08.00.66rPharmacy (08)Bevacizumab (Avastin®) and Related Biosimilars For Oncologic Usec7606bba-245f-4e90-b53b-61d866be17224569Bevacizumab (Avastin®) and Related Biosimilars For Oncologic Use08.00.66
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00.10.39oBillingforProfessionalOffice-BasedServicesPerformedinanOutpatientOffice-BasedSettingLocatedwithinaFacilityoronaFacilityCampus00.10.39oAdministrative (00)Billing for Professional Office-Based Services Performed in an Outpatient Office-Based Setting Located within a Facility or on a Facility Campus51aaf4af-1813-47af-95b8-8602dee4fdf03975Billing for Professional Office-Based Services Performed in an Outpatient Office-Based Setting Located within a Facility or on a Facility Campus00.10.39
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00.10.38aBillingRequirementsforMultipleBirthsforProfessionalProviders00.10.38aAdministrative (00)Billing Requirements for Multiple Births for Professional Providers7467b7be-328a-4664-89ab-13b4c08598393051Billing Requirements for Multiple Births for Professional Providers00.10.38
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07.00.01jBiofeedbackTherapy07.00.01jMedicine (07)Biofeedback Therapy02e82507-4553-452a-95c7-d63400bb489e4333Biofeedback Therapy07.00.01
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11.05.02jBlepharoplasty,RepairofBlepharoptosis,RepairofBrowPtosis,andCanthoplasty/Canthopexy11.05.02jSurgery (11)Blepharoplasty, Repair of Blepharoptosis, Repair of Brow Ptosis, and Canthoplasty/Canthopexybb4a7aab-8e51-48b8-b70e-d9723cca34413770Blepharoplasty, Repair of Blepharoptosis, Repair of Brow Ptosis, and Canthoplasty/Canthopexy11.05.02
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08.01.21eBlinatumomab(Blincyto®)08.01.21ePharmacy (08)Blinatumomab (Blincyto®)92a12a39-2356-431e-9323-ff9db3f3d0394314Blinatumomab (Blincyto®)08.01.21
6ff36306-5bd5-43dc-ada6-e69dee53d224.aspx
  
11.01.06fBone-Anchored(Osseointegrated)HearingAidsandImplantableMiddleEarHearingAids11.01.06fSurgery (11)Bone-Anchored (Osseointegrated) Hearing Aids and Implantable Middle Ear Hearing Aids6ff36306-5bd5-43dc-ada6-e69dee53d2244471Bone-Anchored (Osseointegrated) Hearing Aids and Implantable Middle Ear Hearing Aids11.01.06
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09.00.04lBoneMineralDensity(BMD)Testing09.00.04lRadiology (09)Bone Mineral Density (BMD) Testingcb7ccfb1-b39e-410c-b1d2-fe5f76ab074d4484Bone Mineral Density (BMD) Testing09.00.04
52b13a0d-045a-4ff0-b2ca-70799840fbe4.aspx
  
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c9c846c6-7feb-44a7-bccc-e1a79d2f0ddf.aspx
  
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632e2bb9-de0d-495a-95a7-af123cf8f6ce.aspx
  
11.08.17kDebridementofMycoticandSymptomaticNon-MycoticHypertrophicToeNails11.08.17kSurgery (11)Debridement of Mycotic and Symptomatic Non-Mycotic Hypertrophic Toe Nails632e2bb9-de0d-495a-95a7-af123cf8f6ce4398Debridement of Mycotic and Symptomatic Non-Mycotic Hypertrophic Toe Nails11.08.17
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798cca7f-66bc-4a18-89fe-800f61ffd321.aspx
  
08.00.94pDenosumab(Prolia®,Xgeva®),Romosozumab-aqqg(Evenity®)08.00.94pPharmacy (08)Denosumab (Prolia®, Xgeva®), Romosozumab-aqqg (Evenity®)798cca7f-66bc-4a18-89fe-800f61ffd3214201Denosumab (Prolia®, Xgeva®), Romosozumab-aqqg (Evenity®)08.00.94
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00.03.02acDiagnosticRadiologyServicesIncludedinCapitation00.03.02acAdministrative (00)Diagnostic Radiology Services Included in Capitation446bbd29-dbdd-4b22-9e4d-36459520ca1e3997Diagnostic Radiology Services Included in Capitation00.03.02
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