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NDC	HCPCS	HCPCS Description	NDC Label	Route of Administration
68001-0444-32	J9070	CYCLOPHOSPHAMIDE, 100 MG	CYCLOPHOSPHAMIDE (SDV;USP) 2 GM	IV
68001-0446-31	J2185	INJECTION, MEROPENEM, 100 MG	MEROPENEM (SDV,USP) 500 MG	IV
68001-0447-57	J2185	INJECTION, MEROPENEM, 100 MG	MEROPENEM (SDV,USP) 1 GM	IV
68001-0448-60	J0330	INJECTION, SUCCINYLCHOLINE CHLORIDE, UP TO 20 MG	SUCCINYLCHOLINE CHLORIDE (MDV;USP) 20 MG/1 ML	IJ
68001-0457-42	J1650	INJECTION, ENOXAPARIN SODIUM, 10 MG	ENOXAPARIN SODIUM (SINGLE DOSE,PF) 30 MG/0.3 ML	SC
68001-0458-42	J1650	INJECTION, ENOXAPARIN SODIUM, 10 MG	ENOXAPARIN SODIUM (10X0.4ML;SINGLE DOSE,PF) 40 MG/0.4 ML	SC
68001-0459-42	J1650	INJECTION, ENOXAPARIN SODIUM, 10 MG	ENOXAPARIN SODIUM (10X0.6ML;SINGLE DOSE,PF) 60 MG/0.6 ML	SC
68001-0460-42	J1650	INJECTION, ENOXAPARIN SODIUM, 10 MG	ENOXAPARIN SODIUM (SINGLE DOSE,PF) 80 MG/0.8 ML	SC
68001-0461-42	J1650	INJECTION, ENOXAPARIN SODIUM, 10 MG	ENOXAPARIN SODIUM (SINGLE DOSE,PF) 100 MG/1 ML	SC
68001-0462-42	J1650	INJECTION, ENOXAPARIN SODIUM, 10 MG	ENOXAPARIN SODIUM (SINGLE DOSE,PF) 120 MG/0.8 ML	SC
68001-0463-42	J1650	INJECTION, ENOXAPARIN SODIUM, 10 MG	ENOXAPARIN SODIUM (SINGLE DOSE,PF) 150 MG/1 ML	SC
68001-0464-41	J1650	INJECTION, ENOXAPARIN SODIUM, 10 MG	ENOXAPARIN SODIUM (MDV,USP,LATEX-FREE) 100 MG/1 ML	IJ

HCPCS Code	Description	Billing Unit	SA Type
L2037	KAFO, full plastic, single upright, with or without free motion knee, with or without free motion ankle, custom fabricated	Each	Y
L2038	KAFO, full plastic, with or without free motion knee, multi-axis ankle, custom fabricated	Each	Y
L2040	HKAFO, torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated	Each	Y
L2050	HKAFO, torsion control, bilateral torsion cables, hip joint, pelvic band/belt, custom fabricated	Each	Y
L2060	HKAFO, torsion control, bilateral torsion cables, ball bearing hip joint, pelvic band/belt, custom fabricated	Each	Y
L2070	HKAFO, torsion control, unilateral rotation straps, pelvic band/belt, custom fabricated	Each	Y
L2080	HKAFO, torsion control, unilateral torsion cable, hip joint, pelvic band/belt, custom fabricated	Each	Y
L2090	HKAFO, torsion control, unilateral torsion cable, call bearing hip joint, pelvic band/belt, custom fabricated	Each	Y
L2106	AFO, fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, custom fabricated	Each	Y
L2108	AFO, fracture orthosis, tibial fracture cast orthosis, custom fabricated	Each	Y
L2112	AFO, fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment	Each	Y
L2114	AFO, fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment	Each	Y