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    HCPCS Details

    HCPC J1455
    Short Description Foscarnet sodium injection
    Long Description Injection, foscarnet sodium, per 1000 mg
    Pricing indicator 51
    Coverage code D
    ASC payment group code YY
    BETOS2 code O1E
    Action code N
    Type of service 1
    Effective date 2017-01-01
    Date Added 1993-01-01