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APC for 20610 Group 05441 Level 1 Nerve Injections Payment Weight: 3.22950 Status Indicator: % Payment Indicator: 1 60%/40% Labor Split: $169.32 / $112.88 Wage / GEo Adjustment: $257.18 ASC for 20610 Payment Indicator: P3 Description: Drain/inj joint/bursa w/o us Payment $34.61 Wage/Geo Adjustment $26.26 (1.2645) Wage Adjusted Total $39.19 Member Copay @ 20%: $7.84 Final ASC Payment: $31.35 In hospital outpatient settings, 90837 falls within Level 3 Health and Behavior Services, making it subject to bundling under the applicable APC group

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*Valid for appointments scheduled with select providers (Alison, Tom, or Stephanie)