NYS DOH Statewide Base Rate APGs

(Statewide Base Price: $161.60 as of 4/1/2022)

Revised for January 1, 2020 Updates:

Information revised since the last update is highlighted.
APG APG Description Date
added
to list		 Date
removed
from list
97 AICD AND RELATED CARDIAC DEVICE INSERTION OR REPLACEMENT 1/1/2011  
218 LEVEL II NERVE PROCEDURE W OR W/O NEUROLOGICAL DEVICE 1/1/2012  
223 LEVEL III NERVE PROCEDURE W OR W/O NEUROLOGICAL DEVICE 4/1/2011  
224 LEVEL IV NERVE PROCEDURE W OR W/O NEUROLOGICAL DEVICE 1/1/2019  
250 COCHLEAR DEVICE IMPLANTATION 1/1/2011  
281 MAGNETIC RESONANCE ANGIOGRAPHY – HEAD AND/OR NECK 1/1/2011  
282 MAGNETIC RESONANCE ANGIOGRAPHY 1/1/2011  
283 MAGNETIC RESONANCE ANGIOGRAPHY – OTHER SITES 1/1/2011  
286 MAMMOGRAPHY & OTHER RELATED PROCEDURES 1/1/2011  
287 DIGESTIVE RADIOLOGY 1/1/2011  
290 PET SCANS 1/1/2011  
291 BONE DENSITY AND RELATED PROCEDURES 1/1/2011  
292 MRI– ABDOMEN 1/1/2011  
293 MAGNETIC RESONANCE IMAGING WITHOUT CONTRAST 1/1/2011  
294 MRI– BACK 1/1/2011  
295 MAGNETIC RESONANCE IMAGING WITH CONTRAST 1/1/2011  
296 MRI– OTHER 1/1/2011  
297 MAGNETOCEPHALOGRAPHY 1/1/2011  
298 CAT SCAN BACK 1/1/2011  
299 LEVEL I COMPUTED TOMOGRAPHY 1/1/2011  
300 LEVEL II COMPUTED TOMOGRAPHY 1/1/2011  
301 COMPUTED TOMOGRAPHY– OTHER 1/1/2011  
302 COMPUTED TOMOGRAPHIC ANGIOGRAPHY 1/1/2011  
303 ANGIOGRAPHY, CEREBRAL 1/1/2011  
385 LEVEL I MOLECULAR PATHOLOGY AND GENETIC TESTS 1/1/2014  
390 LEVEL I PATHOLOGY TESTS 1/1/2011  
391 LEVEL II PATHOLOGY TESTS 1/1/2011  
392 PAP SMEARS 1/1/2011  
393 LEVEL II BLOOD AND TISSUE TYPING TESTS 1/1/2011  
394 LEVEL I IMMUNOLOGY TESTS 1/1/2011  
395 LEVEL II IMMUNOLOGY TESTS 1/1/2011  
396 LEVEL I MICROBIOLOGY TESTS 1/1/2011  
397 LEVEL II MICROBIOLOGY TESTS 1/1/2011  
398 LEVEL I ENDOCRINOLOGY TESTS 1/1/2011  
399 LEVEL II ENDOCRINOLOGY TESTS 1/1/2011  
400 LEVEL I CHEMISTRY TESTS 1/1/2011  
401 LEVEL II CHEMISTRY TESTS 1/1/2011  
402 BASIC CHEMISTRY TESTS 1/1/2011  
403 ORGAN OR DISEASE ORIENTED PANELS 1/1/2011  
404 TOXICOLOGY TESTS 1/1/2011  
405 THERAPEUTIC DRUG MONITORING 1/1/2011  
406 LEVEL I CLOTTING TESTS 1/1/2011  
407 LEVEL II CLOTTING TESTS 1/1/2011  
408 LEVEL I HEMATOLOGY TESTS 1/1/2011  
409 LEVEL II HEMATOLOGY TESTS 1/1/2011  
410 URINALYSIS 1/1/2011  
411 BLOOD AND URINE DIPSTICK TESTS 1/1/2011  
414 LEVEL I IMMUNIZATION 1/1/2011  
415 LEVEL II IMMUNIZATION 1/1/2011  
416 LEVEL III IMMUNIZATION 1/1/2011 1/1/2020
430 CLASS I CHEMOTHERAPY DRUGS 1/1/2011  
431 CLASS II CHEMOTHERAPY DRUGS 1/1/2011  
432 CLASS III CHEMOTHERAPY DRUGS 1/1/2011  
433 CLASS IV CHEMOTHERAPY DRUGS 1/1/2011  
434 CLASS V CHEMOTHERAPY DRUGS 1/1/2011  
435 CLASS I PHARMACOTHERAPY 1/1/2011  
436 CLASS II PHARMACOTHERAPY 1/1/2011  
437 CLASS III PHARMACOTHERAPY 1/1/2011  
438 CLASS IV PHARMACOTHERAPY 1/1/2011  
439 CLASS V PHARMACOTHERAPY 1/1/2011  
440 CLASS VI PHARMACOTHERAPY 1/1/2011  
441 CLASS VI CHEMOTHERAPY DRUGS 1/1/2011  
443 CLASS VII CHEMOTHERAPY DRUGS 1/1/2011  
444 CLASS VII PHARMACOTHERAPY 1/1/2011  
455 IMPLANTED TISSUE OF ANY TYPE 1/1/2011  
460 CLASS VIII COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY 1/1/2011  
461 CLASS IX COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY 1/1/2011  
462 CLASS X COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY 1/1/2011  
463 CLASS XI COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY 1/1/2011  
464 CLASS XII COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY 1/1/2011  
465 CLASS XIII COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY 1/1/2011  
471 LEVEL I CONVENTIONAL RADIOLOGY 1/1/2011