Ambulatory Payment Classifications

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Drugs and Biologicals (Excluding Cancer/Chemotherapy)

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Immune Globulins, Serum or Recombinant Products

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0890   Lymphocyte immune globulin
1431   Centruroides immune f(ab)
1609   Rho(D) immune globulin h, sd
1630   Hep b ig, im
1670   Tetanus immune globulin inj
1687   Digoxin immune fab (ovine)
1826   Hyqvia 100mg immuneglobulin
1850   Gamma globulin 1 cc inj
1851   Gamma globulin > 10 cc inj
2731   Immune globulin, powder
9003   Palivizumab
9133   Rabies ig, im/sc
9134   Rabies ig, heat treated
9135   Varicella-zoster ig, im
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