Other carrier priced
Every HCPCS Level II code priced by Part B as "Other carrier priced".
Part B pricingCMS code 57133 codes
By series
These 133 codes span 7 series, split as below. Opening one shows that whole series, not just the codes listed here.
All codes 133
All code series- A0999Unlisted ambulance service
- A4212Non coring needle or stylet
- A4220Infusion pump refill kit
- A4648Implantable tissue marker
- A4650Implant radiation dosimeter
- A9150Misc/exper non-prescript dru
- A9155Artificial saliva
- A9500Tc99m sestamibi
- A9501Technetium tc-99m teboroxime
- A9502Tc99m tetrofosmin
- A9503Tc99m medronate
- A9504Tc99m apcitide
- A9505Tl201 thallium
- A9507In111 capromab
- A9509Iodine i-123 sod iodide mil
- A9512Tc99m pertechnetate
- A9513Lutetium lu 177 dotatat ther
- A9515Choline c-11
- A9516Iodine i-123 sod iodide mic
- A9517I131 iodide cap, rx
- A9520Tc99 tilmanocept diag 0.5mci
- A9521Tc99m exametazime
- A9524I131 serum albumin, dx
- A9527Iodine i-125 sodium iodide
- A9528Iodine i-131 iodide cap, dx
- A9529I131 iodide sol, dx
- A9530I131 iodide sol, rx
- A9531I131 max 100uci
- A9532I125 serum albumin, dx
- A9536Tc99m depreotide
- A9537Tc99m mebrofenin
- A9538Tc99m pyrophosphate
- A9539Tc99m pentetate
- A9540Tc99m maa
- A9541Tc99m sulfur colloid
- A9544I131 tositumomab, dx
- A9545I131 tositumomab, rx
- A9556Ga67 gallium
- A9557Tc99m bicisate
- A9558Xe133 xenon 10mci
- A9559Co57 cyano
- A9560Tc99m labeled rbc
- A9561Tc99m oxidronate
- A9562Tc99m mertiatide
- A9563P32 na phosphate
- A9564P32 chromic phosphate
- A9566Tc99m fanolesomab
- A9567Technetium tc-99m aerosol
- A9569Technetium tc-99m auto wbc
- A9570Indium in-111 auto wbc
- A9571Indium in-111 auto platelet
- A9572Indium in-111 pentetreotide
- A9575Inj gadoterate meglumi 0.1ml
- A9580Sodium fluoride f-18
- A9584Iodine i-123 ioflupane
- A9585Gadobutrol injection
- A9587Gallium ga-68
- A9588Fluciclovine f-18
- A9589Insti hexaminolevulinate hcl
- A9591Fluoroestradiol f 18
- A9592Copper cu 64 dotatate diag
- A9593Gallium ga-68 psma-11 ucsf
- A9594Gallium ga-68 psma-11, ucla
- A9595Piflu f-18, dia 1 millicurie
- A9596Gallium illuccix 1 millicure
- A9597Pet, dx, for tumor id, noc
- A9598Pet dx for non-tumor id, noc
- A9599Radioph dx b amyloid pet nos
- A9600Sr89 strontium
- A9601Flortaucipir inj 1 millicuri
- A9602Fluorodopa f-18 diag per mci
- A9604Sm 153 lexidronam
- A9606Radium ra223 dichloride ther
- A9607Lutetium lu 177 vipivotide
- A9608Flotufolastat f18 diag 1 mci
- A9609F18 fdg, 15 millicuries
- A9610Xe129 xenon, diagnostic
- A9611Flurpiridaz f18, diag, 1 mci
- A9612Inj, fluorescein, 1 mg
- A9616Gallium gozellix 1 millicuri
- A9699Radiopharm rx agent noc
- A9700Echocardiography contrast
- A9800Gallium locametz 1 millicuri
- B9998Enteral supp not otherwise c
- B9999Parenteral supp not othrws c
- E0350Control unit bowel system
- E0352Disposable pack w/bowel syst
- E0710Restraints any type
- J0601Sevelamer carbonate 20 mg
- J0602Sevelamer carbonate pdr 20mg
- J0603Sevelamer hydrochloride 20mg
- J0605Sucroferric oxyhydroxide 5mg
- J0607Lanthanum carbonate oral 5mg
- J0608Lanthanum carbonate pwdr 5mg
- J0609Ferric citrate orl 3 mg iron
- J0615Calcium acetate, oral, 23 mg
- J0738Hiv prep, inj, lenacapavir
- J0739Hiv prep, inj, cabotegravir
- J0750Hiv prep, ftc/tdf 200/300mg
- J0751Hiv prep, ftc/taf 200/25mg
- J0752Hiv prep, oral lenacapavir
- J0879Difelikefalin, esrd on dialy
- J0882Darbepoetin alfa, esrd use
- J0886Epoetin alfa 1000 units esrd
- J0887Epoetin beta esrd use
- J0888Epoetin beta non esrd
- J0889Daprodustat oral 1mg esrd
- J7330Cultured chondrocytes implnt
- J7502Cyclosporine oral 100 mg
- P2028Cephalin floculation test
- P2029Congo red blood test
- P2033Blood thymol turbidity
- P9100Pathogen test for platelets
- P9612Catheterize for urine spec
- P9615Urine specimen collect mult
- Q1004Ntiol category 4
- Q1005Ntiol category 5
- Q2052Home ivig, services/supplies
- Q3001Brachytherapy radioelements
- Q4050Cast supplies unlisted
- Q4051Splint supplies misc
- Q4081Epoetin alfa, 100 units esrd
- Q5105Inj retacrit esrd on dialysi
- Q9950Inj sulf hexa lipid microsph
- Q9953Inj fe-based mr contrast,1ml
- Q9954Oral mr contrast, 100 ml
- Q9955Inj perflexane lip micros,ml
- Q9956Inj octafluoropropane mic,ml
- Q9957Inj perflutren lip micros,ml
- Q9972Epoetin beta esrd use
- Q9973Epoetin beta non esrd
- Q9987Pathogen test for platelets
- V2790Amniotic membrane
About this list
The pricing indicator comes from the CMS HCPCS release and describes the method Part B uses to price the code. It is not a price, and it says nothing about what another payer will allow. The largest group here is the A series (Transportation Services including Ambulance; Medical and Surgical Supplies; Vision and Hearing Systems).