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    HCPCS Details

    HCPC J1725
    Short Description Hydroxyprogesterone caproate
    Long Description Injection, hydroxyprogesterone caproate, 1 mg
    Pricing indicator 00
    Coverage code I
    ASC payment group code
    BETOS2 code O1E
    Action code N
    Type of service 1
    Effective date 2018-01-01
    Date Added 2012-01-01