1/5/2021 5:46:41 PM SALIVARY GLAND PX Each 33386.460000 10015.938000 7997.700000 7997.700000 OTITIS MEDIA/URI WO MCC Each 10971.680000 3291.504000 4372.770000 4372.770000 PULM EMB W MCC OR AC COR P Each 22299.523333 6689.857000 6377.260000 11306.760000 PULMONARY EMB WO MCC Each 23231.090000 6969.327000 5122.390000 7040.750000 RESP INF/INFLAM W MCC Each 32627.950555 9788.385167 9148.850000 18418.270000 RESP INF/INFLAM W CC Each 19125.062500 5737.518750 3984.460000 9241.910000 RESP INF/INFLAM WO CC/MCC Each 23055.150000 6916.545000 8360.150000 8360.150000 RESP NEOP W MCC Each 40004.170000 12001.251000 10085.090000 10085.090000 RESP NEOP W CC Each 45023.090000 13506.927000 6871.950000 6871.950000 MAJ CHEST TRAUMA W MCC Each 10586.430000 3175.929000 6158.960000 6158.960000 MAJ CHEST TRAUMA W CC Each 27172.830000 8151.849000 6048.100000 6048.100000 MAJ CHEST TRAUMA WO CC/MCC Each 21618.880000 6485.664000 4528.780000 4528.780000 PLEURAL EFF W MCC Each 28904.376666 8671.313000 9407.170000 12409.540000 PLEURAL EFF W CC Each 34421.610000 10326.483000 6044.990000 6044.990000 PUL EDEMA/ RESP FAILURE Each 28484.844444 8545.453333 7165.440000 8836.230000 CH OBST PULM DIS W MCC Each 19088.009230 5726.402769 5718.990000 8550.090000 CH OBST PULM DIS W CC Each 20291.147500 6087.344250 5418.210000 6822.320000 CH OBST PULM DIS WO CC/MCC Each 15133.930000 4540.179000 4388.480000 4388.480000 SIMP PNEU/PLEU W MCC Each 24980.773000 7494.231900 7676.000000 10648.000000 SIMP PNEU/PLEU W CC Each 21474.556666 6442.367000 5054.080000 7165.670000 SIMP PNEU/PLEU WO CC/MCC Each 9812.965000 2943.889500 5286.280000 5286.280000 INTERSTITAL LUNG DIS W MCC Each 18652.780000 5595.834000 13115.030000 13115.030000 PNEUMOTHORAX W MCC Each 35494.120000 10648.236000 10803.240000 10803.240000 PNEUMOTHORAX W CC Each 9804.220000 2941.266000 7342.160000 7342.160000 BRONCH/ASTHMA W CC/MCC Each 13117.240000 3935.172000 3993.180000 7347.000000 RESP SIGNS & SYMPTOMS Each 11514.360000 3454.308000 4904.570000 4904.570000 OTH RESP SYS DX WO MCC Each 10109.130000 3032.739000 5782.570000 5782.570000 RESP SYS DX W VENT >96 Each 110846.794000 33254.038200 28232.760000 39744.370000 RESP SYS DX W VENT <=96 Each 63647.283333 19094.185000 14343.110000 22729.640000 C DEFIB WO C CATH W MCC Each 196551.820000 58965.546000 33767.620000 33767.620000 AMP EXC UP LMB & TOE W CC Each 21675.140000 6502.542000 15698.160000 15698.160000 AMP EXC UP LMB & TOE WO CC Each 15288.600000 4586.580000 8798.200000 8798.200000 PERC CV PX W DE STNT W MCC Each 61774.380000 18532.314000 10272.010000 27617.590000 PERC CV PX W DE STNT WOMCC Each 50134.561111 15040.368333 11897.440000 16365.090000 PERC CV PX WNDR STNT WOMCC Each 46651.250000 13995.375000 11160.250000 11160.250000 PER CV PX WO ST W MCC Each 54450.790000 16335.237000 14807.040000 14807.040000 PER CV PX WO STNT WO MCC Each 46675.340000 14002.602000 13043.250000 13043.250000 OTH CIRC SYS OR PX Each 34778.250000 10433.475000 17002.330000 17002.330000 ACUTE MI, DIS ALIV W MCC Each 32032.760000 9609.828000 7341.940000 9932.770000 ACUTE MI, DIS ALIV W CC Each 26179.918000 7853.975400 5843.900000 7460.870000 ACUTE MI,DIS ALIV WOCC/MC Each 16575.718000 4972.715400 4248.820000 5505.900000 ACUTE MI, EXP W MCC Each 52924.830000 15877.449000 10504.620000 10504.620000 ACUTE MI, EXP W CC Each 13096.500000 3928.950000 4478.780000 4478.780000 CIRC DIS NO MI W CATH WMCC Each 42909.620000 12872.886000 12735.130000 12735.130000 CIRC DIS NO MI WCATH WOMCC Each 18008.330000 5402.499000 3772.210000 3772.210000 HEART FAIL/SHOCK W MCC Each 21174.545384 6352.363615 7986.220000 10824.270000 HEART FAIL/SHOCK W CC Each 19547.240000 5864.172000 5053.900000 7230.420000 HEART FAIL/SHOCK WO CC/MCC Each 15547.880000 4664.364000 4110.270000 5284.340000 CARDIAC ARREST, UNEX W MCC Each 11412.970000 3423.891000 9091.300000 9091.300000 PERI VASC DIS W MCC Each 51897.320000 15569.196000 11575.850000 11575.850000 PERI VASC DIS W CC Each 16874.663333 5062.399000 6108.800000 6108.800000 PERI VASC DIS WO CC/MCC Each 6414.200000 1924.260000 4933.590000 4933.590000 HYPERTENSION W MCC Each 22743.470000 6823.041000 6532.630000 6532.630000 HYPERTENSION WO MCC Each 22334.240000 6700.272000 4513.540000 4513.540000 CARD CONG/VAL DIS W MCC Each 34171.800000 10251.540000 11294.780000 11294.780000 CARD ARR/COND DIS W MCC Each 21373.121666 6411.936500 5301.710000 9483.780000 CARD ARR/COND DIS W CC Each 19452.180000 5835.654000 4599.970000 6039.060000 CARD COND DIS WO CC/MCC Each 11518.790000 3455.637000 3503.950000 4466.010000 SYNCOPE & COLLAPSE Each 6474.000000 1942.200000 6474.000000 6474.000000 CHEST PAIN Each 13014.460000 3904.338000 4380.110000 4380.110000 OTH CIRC SYS DX W MCC Each 23279.440000 6983.832000 13975.910000 13975.910000 OTH CIRC SYS DX W CC Each 18339.250000 5501.775000 6183.580000 6183.580000 GASTR, ESOPH,DUO PX W CC Each 48726.960000 14618.088000 11755.410000 20544.610000 GASTR,ESOPH ,DUO PX WO CC Each 25891.885000 7767.565500 9142.240000 9586.440000 MAJ SM/LG BOWEL PX W MCC Each 57599.930000 17279.979000 26565.410000 29329.860000 MAJ SM/LG BOWEL PX W CC Each 43710.230000 13113.069000 13621.710000 19779.790000 MAJ SM/LG BOWEL PX WO CC Each 45777.758000 13733.327400 9946.960000 13223.060000 PERITON ADHES W MCC Each 78755.700000 23626.710000 13890.000000 13890.000000 PERITON ADHES WO CC/MCC Each 27270.450000 8181.135000 9667.520000 9667.520000 APNDEC/COMP PDX WO CC Each 50791.900000 15237.570000 9881.440000 9881.440000 APNDEC WO COMP PDX WO CC Each 16703.800000 5011.140000 5003.080000 9286.500000 MIN SM/LG BOWEL PX W CC Each 18413.100000 5523.930000 12455.620000 12455.620000 ANAL/STOMAL PX W CC Each 69643.310000 20892.993000 11253.260000 11253.260000 HERNIA PX X ING/FEM WO CC Each 25173.310000 7551.993000 10570.220000 10570.220000 MAJ GI DIS&PERIT INF W CC Each 15204.770000 4561.431000 5253.940000 5253.940000 MAJ GI DIS&PERIT INF WO CC Each 12258.660000 3677.598000 4354.230000 5748.950000 DIGEST MALIG WO CC/MCC Each 74782.460000 22434.738000 8053.460000 8053.460000 GI HEM W MCC Each 31375.760000 9412.728000 10229.500000 14235.310000 GI HEM W CC Each 13953.900000 4186.170000 1043.820000 7968.040000 UNCMP PEPTC ULCER WO MCC Each 16129.010000 4838.703000 7017.290000 7017.290000 INFL BOWEL DIS W CC Each 13637.400000 4091.220000 7866.820000 7866.820000 GI OBST W MCC Each 15857.480000 4757.244000 9020.580000 13886.120000 GI OBST W CC Each 15367.750000 4610.325000 3510.590000 6346.860000 GI OBST WO CC/MCC Each 17146.332500 5143.899750 3552.500000 4036.350000 ESOPH, GE & DIG DIS W MCC Each 31748.685714 9524.605714 7382.860000 9511.970000 ESOPH, GE DIG DIS WO MCC Each 16681.965454 5004.589636 4476.630000 6091.550000 OTH DIGEST DX W MCC Each 5389.830000 1616.949000 5389.830000 5389.830000 OTH DIGEST DX W CC Each 9475.750000 2842.725000 5672.290000 7225.250000 OTH DIGEST DX WO CC/MCC Each 15589.215000 4676.764500 3804.910000 5225.380000 TRACH/ MV >96 W/O MAJ OR Each 259188.470000 77756.541000 69468.740000 69468.740000 LAP CHOLE WO CDE W MCC Each 23061.235000 6918.370500 10209.280000 19249.440000 LAP CHOLE WO CDE W CC Each 35114.160000 10534.248000 10834.330000 13326.170000 LAP CHOLE WO CDE WO CC Each 21533.520000 6460.056000 8967.300000 8967.300000 CIRR/ALC HEPATITIS MCC Each 21723.920000 6517.176000 12166.560000 12166.560000 DIS PANCR X MALIG W CC Each 13399.720000 4019.916000 5453.290000 6831.820000 DIS PANCR X MALIG WO CC Each 14137.600000 4241.280000 4676.590000 4915.570000 DISDRS LIVER W CC Each 26240.910000 7872.273000 5594.640000 5594.640000 DIS BILIRY TRACT WO CC/MCC Each 14608.260000 4382.478000 6298.430000 6298.430000 BIL/MULT M/JNT/LE W/OMCC Each 64153.010000 19245.903000 24754.280000 24754.280000 WND DEB & SG EX HAND WMCC Each 68653.130000 20595.939000 18667.410000 18667.410000 WND DEB & SG EX HAND W CC Each 75082.990000 22524.897000 17140.630000 17140.630000 REV HIP/KNE REPL WO CC/MCC Each 47005.020000 14101.506000 17696.260000 45902.650000 MAJ JOIN REPL/REATT LE W M Each 83411.108571 25023.332571 15505.960000 19420.500000 MAJ JOIN REP/REAT LE W/O M Each 51835.229642 15550.568893 11558.810000 16377.040000 AMP MUSC/TISS DIS W CC Each 24663.680000 7399.104000 8827.910000 14928.990000 HIP/FEMUR PX X MJ W MCC Each 74921.975000 22476.592500 17340.310000 23628.820000 HIP/FEMUR PX X MJ W CC Each 38145.610000 11443.683000 11451.030000 12243.970000 HIP/FEMUR PX W MJ WO CC Each 28792.120000 8637.636000 9205.520000 12899.880000 MAJ REATT PX UPPER EXT Each 66727.020000 20018.106000 12647.040000 19100.920000 KNEE PX W INF PDX W CC Each 41152.310000 12345.693000 12320.700000 12320.700000 KNEE PX WO INF PDX WO CC Each 37898.315000 11369.494500 7393.990000 10053.120000 LE & HUM PX W MCC Each 77004.530000 23101.359000 20889.710000 20889.710000 LE & HUM PX W CC Each 32451.800000 9735.540000 10674.140000 18514.990000 LE & HUM PX WO CC/MCC Each 44131.400000 13239.420000 10845.500000 11210.580000 UE PX EX MAJ JNT PX WO CC Each 27329.600000 8198.880000 12087.690000 12087.690000 OT MUS CON TISS OR PX W CC Each 47409.510000 14222.853000 11715.930000 11715.930000 OT MUSC CONN TISS OR PX WO Each 16026.210000 4807.863000 10968.580000 10968.580000 HIP REPL W PDX FX WO MCC Each 32503.670000 9751.101000 13750.860000 13750.860000 HIP/PELVIS FRAC WO MCC Each 14800.015000 4440.004500 4664.990000 4664.990000 CONN TISS DIS WO CC/MCC Each 17782.590000 5334.777000 6468.650000 6468.650000 MED BACK PROB W MCC Each 34798.490000 10439.547000 9852.740000 9852.740000 MED BACK PROB W/O MCC Each 16917.465000 5075.239500 5468.690000 7067.230000 BONE DIS & ARTHROP WO MCC Each 22926.430000 6877.929000 5865.980000 5865.980000 TEND MYOSTIS BURSTIS WOMCC Each 11421.900000 3426.570000 5273.780000 6204.880000 AFTRCARE MUS CONN TIS WMCC Each 36449.575000 10934.872500 10260.000000 10516.380000 DEG NRV SYS DIS W MCC Each 26564.050000 7969.215000 7155.530000 17506.310000 AFTCARE MUS CONN TISS W CC Each 17527.313333 5258.194000 6393.940000 8332.350000 DEG NRV SYS DIS WO MCC Each 14504.735000 4351.420500 11429.090000 11429.090000 OT SKIN,SBQ BRST PX W CC Each 10155.530000 3046.659000 5585.720000 5585.720000 SKIN SUBC BRST PX WO CC Each 17354.380000 5206.314000 7494.640000 7494.640000 MS & CEREB ATAX W CC Each 34335.530000 10300.659000 15397.640000 15397.640000 CELLULITIS W MCC Each 27184.410000 8155.323000 8764.570000 8764.570000 CELLULITIS W/O MCC Each 18531.504444 5559.451333 5078.280000 6784.270000 MIN SKIN DIS W/O MCC Each 11036.840000 3311.052000 7190.410000 7190.410000 AMP LOW LIMB W CC Each 21471.860000 6441.558000 12590.710000 14530.000000 OR PX FOR OBESITY W CC Each 36385.470000 10915.641000 10541.980000 14441.020000 OR PX FOR OBESITY WO CC Each 31812.080000 9543.624000 8360.700000 12839.850000 SKN GFT & DEBRIMT W CC Each 30675.330000 9202.599000 11116.330000 11970.700000 DIABETES W MCC Each 17052.940000 5115.882000 8233.620000 11064.810000 DIABETES W CC Each 16454.074166 4936.222250 5369.430000 11194.620000 DIABETES W/O CC/MCC Each 13043.357500 3913.007250 3872.610000 4896.400000 IC HEM OR CEREB INF W MCC Each 19927.626000 5978.287800 8032.100000 14970.280000 MS DIS NUT,META,ELEC W MC Each 20088.698333 6026.609500 7146.150000 8281.210000 MS DIS NUT/META/ELEC WOMCC Each 17330.582666 5199.174800 4654.330000 6085.330000 ENDO DIS W MCC Each 32661.270000 9798.381000 11984.540000 11984.540000 IC HM OR CB INF W CC/TPA24 Each 16507.570000 4952.271000 5190.310000 5999.520000 KIDNY URTER PX NO-CA W MCC Each 46077.520000 13823.256000 15440.710000 15440.710000 IC HEM OR CEREB INF WO CC Each 14575.680000 4372.704000 4458.590000 5725.250000 KIDNY URETR PX NON-CA WOCC Each 19795.280000 5938.584000 8704.450000 9825.010000 OTH KID/UT PX W MCC Each 62809.610000 18842.883000 20188.820000 20188.820000 OTH KID/UT PX W CC Each 28576.490000 8572.947000 19516.900000 19516.900000 RENAL FAILURE W MCC Each 30106.639000 9031.991700 8610.080000 11887.550000 RENAL FAILURE W CC Each 15357.250000 4607.175000 5443.460000 7164.940000 RENAL FAILURE W/O CC/MCC Each 15625.597500 4687.679250 3557.770000 4913.170000 KIDNEY/UTI W MCC Each 15677.788571 4703.336571 5666.290000 7498.470000 TRANS ISCHEMIA W/O THROMB Each 16039.280000 4811.784000 4603.720000 4603.720000 KIDNEY/UTI WO MCC Each 17958.134166 5387.440250 4639.450000 6377.010000 URINARY STONES W/O MCC Each 12622.695000 3786.808500 4994.050000 5865.760000 OTH KID & UT DX W MCC Each 60664.040000 18199.212000 9409.490000 9409.490000 NS CEREB DIS W MCC Each 38555.505000 11566.651500 6840.000000 21269.150000 NS CEREB DIS W CC Each 21816.650000 6544.995000 6289.210000 6289.210000 MALE REP PX EX MALIG WO CC Each 16157.700000 4847.310000 7294.810000 7294.810000 NS CEREB DIS WO CC/MCC Each 23766.250000 7129.875000 13790.650000 13790.650000 INF MALE REPROD SYS W MCC Each 13629.100000 4088.730000 11396.990000 11396.990000 CRAN/PERI NRV DIS W MCC Each 19376.790000 5813.037000 5596.960000 5596.960000 CRAN/PERI NRV DIS WO MCC Each 11495.395000 3448.618500 5952.720000 6441.500000 UTR/ADNEX PX NON MAL WO CC Each 22977.120000 6893.136000 7247.530000 8900.880000 INF FEM REPRO SYS W CC Each 56346.250000 16903.875000 7658.180000 7658.180000 INF FEM REPRO SYS WO CC Each 24480.750000 7344.225000 5046.470000 5046.470000 CESAREAN SEC W CC/MCC Each 20917.810000 6275.343000 7953.780000 7953.780000 CESAREAN SEC W/O CC/MCC Each 14764.420000 4429.326000 5505.900000 5505.900000 VAG DEL W STER & D&C Each 9628.010000 2888.403000 6198.310000 6198.310000 VAG DEL W OR PX Each 10265.986000 3079.795800 3407.000000 8044.890000 VAG DELIV W COMP DX Each 9225.592500 2767.677750 5339.460000 5339.460000 VAG DELIV W/O COMP DX Each 9498.360000 2849.508000 4108.680000 4108.680000 PP & POST AB DX WO OR PX Each 5289.680000 1586.904000 1923.100000 1923.100000 OT ANTEPARTM DX W MED COMP Each 6240.130000 1872.039000 5494.270000 5494.270000 CESAREAN SEC W STERIL W CC Each 18042.720000 5412.816000 8345.920000 8345.920000 CESAREAN W STER WO CC/MCC Each 12844.530000 3853.359000 3734.000000 6652.600000 CESAREAN SEC WO STER WMCC Each 19025.500000 5707.650000 10187.070000 10187.070000 CESAREAN WO STER WO CC/MCC Each 13171.591428 3951.477428 3734.000000 7236.010000 NEON DIED OR TRANS TO ACF Each 3063.313333 918.994000 2542.700000 3941.160000 PREMATURITY WO MAJ PROB Each 3596.700000 1079.010000 2175.000000 2175.000000 FULL TERM NEO W MAJ PROB Each 2698.040000 809.412000 2698.040000 2698.040000 NEON W OTH SIG PROB Each 2475.551538 742.665461 1289.800000 1990.080000 NORMAL NEWBORN Each 2316.037297 694.811189 754.290000 1510.390000 VAG DEL W STER/DC WO CCMCC Each 11882.950000 3564.885000 3407.000000 6957.620000 VAG DEL WO STER/DC W MCC Each 5123.055000 1536.916500 3407.000000 7936.100000 VAG DEL WO STER/DC W CC Each 12935.751250 3880.725375 3407.000000 13160.000000 VAG DEL WO STER/DC WOCCMCC Each 8578.242093 2573.472628 3290.000000 5054.520000 RBC DIS W MCC Each 23518.937500 7055.681250 7817.780000 8925.000000 RBC DIS W/O MCC Each 11799.110000 3539.733000 5294.260000 7003.040000 OTH ANTP DX W OR W CC Each 17651.960000 5295.588000 9872.730000 9872.730000 OTH ANTP DX W OR WOCCMCC Each 12625.060000 3787.518000 6502.250000 6502.250000 INF & PAR DIS OR PX W MCC Each 73882.073333 22164.622000 23461.970000 40712.320000 INF & PAR DIS OR PX W CC Each 37609.795000 11282.938500 12390.940000 17382.530000 POSTOP POST TRAM INF W MCC Each 38530.605000 11559.181500 12006.980000 14777.040000 VIRAL ILLNESS W MCC Each 20158.115000 6047.434500 4580.470000 11125.500000 OTH INF/PARA DX W MCC Each 21937.290000 6581.187000 13145.520000 13145.520000 SEPTI OR SEPSI W MV >96HRS Each 119433.810000 35830.143000 35427.350000 37198.110000 SEPTI/SEPS WO MV>96HR WMCC Each 33032.671590 9909.801477 9073.040000 15010.650000 SEPTI/SEPS WO MV >96 WO MC Each 17457.348666 5237.204600 6239.850000 8380.920000 OR PX W PDX OF MENTAL ILL Each 46420.330000 13926.099000 20959.880000 20959.880000 AC ADJ REAC & PSY DYS Each 13521.900000 4056.570000 4881.190000 4881.190000 DEPRESSIVE NEUROSES Each 15041.330000 4512.399000 3798.760000 5780.140000 NEUROSES X DEPRESSIVE Each 9281.225000 2784.367500 1500.000000 1500.000000 ORGAN DIST & INTELL DISAB Each 14097.590000 4229.277000 5925.170000 11482.430000 PSYCHOSES Each 11109.251785 3332.775536 3750.000000 6776.190000 ALC/DRU ABU WO REHAB WOMCC Each 13467.720666 4040.316200 5027.540000 6562.070000 OTH OR PX FOR INJ W MCC Each 26172.820000 7851.846000 26172.820000 26172.820000 OTH OR PX FOR INJ W CC Each 23166.720000 6950.016000 12057.760000 12057.760000 OT OR PX FOR INJ WO CC/MCC Each 40377.790000 12113.337000 10156.630000 10219.930000 OTH DIS NERV SYS W MCC Each 41003.590000 12301.077000 3637.610000 12497.280000 ALLERGIC REAC W/O MCC Each 5319.330000 1595.799000 3740.240000 3740.240000 POIS/TOX EFF OF DRUG W MCC Each 26169.500000 7850.850000 8652.850000 11768.520000 POIS/TOX EFF OF DRUG WO CC Each 7954.022500 2386.206750 2239.160000 4668.590000 OTH DIS NERV SYS W CC Each 22628.375000 6788.512500 5864.840000 7310.580000 INJ/POIS/TOX EFCT DX W MCC Each 61013.080000 18303.924000 12804.750000 12804.750000 OR PX PDX OTH SVCS W CC Each 107093.150000 32127.945000 13152.430000 13152.430000 SIGNS & SYMPTOMS W/O MCC Each 15858.480000 4757.544000 5192.090000 5192.090000 LIMB REATT HIM&FEM MULT TR Each 90612.370000 27183.711000 22559.200000 22559.200000 EXT OR PX UNREL PDX W CC Each 41996.740000 12599.022000 19467.430000 19467.430000 EXT OR PX UNREL PDX WO CC Each 57765.200000 17329.560000 8352.880000 8352.880000 NON-EXT OR UNREL PDX W CC Each 13235.286000 3970.585800 8749.560000 9922.440000 NON-EXT OR UNREL PDX WO CC Each 8466.180000 2539.854000 4177.290000 4177.290000 DRAINAGE OF SKIN ABSCESS Each 9344.840000 2803.452000 1287.000000 1287.000000 REMOVE FOREIGN BODY Each 6697.040000 2009.112000 1287.000000 1287.000000 EXC H-F-NK-SP B9+MARG 0.5/< Each 3535.291666 1060.587500 1254.000000 1254.000000 BX BREAST 1ST LESION US IMAG Each 4279.740000 1283.922000 1672.000000 1672.000000 REMOVAL OF ELBOW BURSA Each 9642.370000 2892.711000 1974.000000 1974.000000 INCISE FINGER TENDON SHEATH Each 4670.925000 1401.277500 1254.000000 1254.000000 REMOVE LOWER LEG BONE LESION Each 5952.990000 1785.897000 987.000000 987.000000 REPAIR OF ANKLE LIGAMENT Each 5411.620000 1623.486000 836.000000 836.000000 PARTIAL REMOVAL OF TOE Each 7866.090000 2359.827000 1197.500000 1197.500000 REPAIR OF FOOT TENDON Each 5654.940000 1696.482000 1974.000000 1974.000000 SHOULDER ARTHROSCOPY/SURGERY Each 4192.820000 1257.846000 2709.000000 2709.000000 SHOULDER ARTHROSCOPY/SURGERY Each 3399.240000 1019.772000 643.500000 643.500000 ARTHROSCOP ROTATOR CUFF REPR Each 2418.820000 725.646000 1354.500000 1354.500000 KNEE ARTHROSCOPY/SURGERY Each 7766.090000 2329.827000 2395.000000 2395.000000 KNEE ARTHROSCOPY/SURGERY Each 11097.740000 3329.322000 2395.000000 2395.000000 KNEE ARTHROSCOPY/SURGERY Each 8738.140000 2621.442000 2395.000000 2395.000000 EGD BIOPSY SINGLE/MULTIPLE Each 3097.258571 929.177571 1672.000000 1672.000000 EGD PLACE GASTROSTOMY TUBE Each 3674.810000 1102.443000 1672.000000 1672.000000 DIAGNOSTIC COLONOSCOPY Each 3153.052000 945.915600 1672.000000 1672.000000 COLONOSCOPY AND BIOPSY Each 2989.670000 896.901000 2989.670000 2989.670000 INCISION OF ANAL ABSCESS Each 6124.040000 1837.212000 1287.000000 1287.000000 REMOVE IN/EX HEM GROUPS 2+ Each 10550.030000 3165.009000 1974.000000 1974.000000 LAPAROSCOPIC CHOLECYSTECTOMY Each 12304.955000 3691.486500 2385.750000 2385.750000 PRP I/HERN INIT REDUC >5 YR Each 13202.390000 3960.717000 2395.000000 2395.000000 LAP VENT/ABD HERNIA REPAIR Each 15845.085000 4753.525500 3181.000000 3181.000000 CYSTOSCOPY AND TREATMENT Each 4824.670000 1447.401000 1672.000000 1672.000000 CYSTOURETERO W/STONE REMOVE Each 7306.350000 2191.905000 1197.500000 1197.500000 VAG HYST INCLUDING T/O Each 18938.150000 5681.445000 2709.000000 2709.000000 ENDOMETR ABLATE THERMAL Each 11245.300000 3373.590000 3658.000000 3658.000000 LAPARO-VAG HYST INCL T/O Each 27814.510000 8344.353000 3658.000000 3658.000000 HYSTEROSCOPY BIOPSY Each 14919.330000 4475.799000 1974.000000 1974.000000 TLH W/T/O 250 G OR LESS Each 31278.210000 9383.463000 3658.000000 3658.000000 FETAL NON-STRESS TEST Each 463.000000 138.900000 300.950000 300.950000 NJX AA&/STRD BRACH PLEXUS Each 1420.240000 426.072000 643.500000 643.500000 CARPAL TUNNEL SURGERY Each 6708.700000 2012.610000 1672.000000 1672.000000 CT HEAD/BRAIN W/O DYE Each 1479.000000 443.700000 920.000000 920.000000 MRI BRAIN STEM W/O DYE Each 2745.000000 823.500000 1133.000000 1133.000000 MRI BRAIN STEM W/DYE Each 2960.650000 888.195000 1133.000000 1133.000000 MRI BRAIN STEM W/O & W/DYE Each 4491.650000 1347.495000 1133.000000 1133.000000 CT THORAX W/O DYE Each 1582.000000 474.600000 920.000000 920.000000 CT ANGIOGRAPHY CHEST Each 2279.000000 683.700000 920.000000 920.000000 MRI NECK SPINE W/O DYE Each 3079.000000 923.700000 1133.000000 1133.000000 MRI LUMBAR SPINE W/O DYE Each 3205.000000 961.500000 1133.000000 1133.000000 MRI PELVIS W/O DYE Each 2786.000000 835.800000 1133.000000 1133.000000 X-RAY EXAM ABDOMEN 1 VIEW Each 174.000000 52.200000 37.290000 37.290000 CT ABD & PELV W/CONTRAST Each 4128.000000 1238.400000 920.000000 1840.000000 CT ABD & PELV 1/> REGNS Each 5275.000000 1582.500000 920.000000 920.000000 X-RAY XM UPR GI TRC 2CNTRST Each 509.000000 152.700000 275.920000 275.920000 ULTRASOUND BREAST LIMITED Each 169.645000 50.893500 122.290000 122.290000 US EXAM ABDOM COMPLETE Each 590.960000 177.288000 275.920000 275.920000 ECHO EXAM OF ABDOMEN Each 725.000000 217.500000 275.920000 275.920000 US EXAM ABDO BACK WALL COMP Each 677.000000 203.100000 275.920000 275.920000 TRANSVAGINAL US NON-OB Each 694.000000 208.200000 275.920000 275.920000 US EXAM PELVIC COMPLETE Each 530.980000 159.294000 251.436666 275.920000 US EXAM SCROTUM Each 706.000000 211.800000 275.920000 275.920000 BREAST TOMOSYNTHESIS BI Each 68.000000 20.400000 68.000000 68.000000 DX MAMMO INCL CAD BI Each 280.720000 84.216000 234.570000 234.570000 SCR MAMMO BI INCL CAD Each 232.100000 69.630000 188.860000 188.860000 HT MUSCLE IMAGE SPECT MULT Each 3435.000000 1030.500000 1122.170000 1122.170000 LUNG PERFUSION IMAGING Each 987.000000 296.100000 485.560000 485.560000 METABOLIC PANEL TOTAL CA Each 298.000000 89.400000 32.590000 32.590000 COMPREHEN METABOLIC PANEL Each 350.000000 105.000000 40.700000 40.700000 LIPID PANEL Each 178.000000 53.400000 48.940000 48.940000 ALKALOIDS NOS Each 127.000000 38.100000 31.880000 31.880000 URINALYSIS AUTO W/SCOPE Each 44.000000 13.200000 12.180000 12.180000 URINALYSIS AUTO W/O SCOPE Each 34.000000 10.200000 8.640000 8.640000 BILIRUBIN DIRECT Each 75.000000 22.500000 19.340000 19.340000 VITAMIN D 25 HYDROXY Each 166.000000 49.800000 113.970000 113.970000 ASSAY OF URINE CREATININE Each 53.000000 15.900000 19.910000 19.910000 VITAMIN B-12 Each 119.000000 35.700000 58.020000 58.020000 VIT D 1 25-DIHYDROXY Each 194.000000 58.200000 148.180000 148.180000 ASSAY OF FOLIC ACID SERUM Each 126.000000 37.800000 56.600000 56.600000 GLYCOSYLATED HEMOGLOBIN TEST Each 53.000000 15.900000 37.390000 37.390000 ASSAY OF IRON Each 79.000000 23.700000 24.930000 24.930000 IRON BINDING TEST Each 68.000000 20.400000 33.650000 33.650000 ASSAY OF PARATHORMONE Each 182.000000 54.600000 158.910000 158.910000 ASSAY OF PHOSPHORUS Each 44.000000 13.200000 18.280000 18.280000 ASSAY OF PROTEIN URINE Each 43.000000 12.900000 6.180000 6.180000 ASSAY OF FREE THYROXINE Each 100.000000 30.000000 34.710000 34.710000 ASSAY THYROID STIM HORMONE Each 157.000000 47.100000 64.660000 64.660000 FREE ASSAY (FT-3) Each 75.000000 22.500000 65.220000 65.220000 CHORIONIC GONADOTROPIN ASSAY Each 111.000000 33.300000 28.920000 28.920000 COMPLETE CBC W/AUTO DIFF WBC Each 76.000000 22.800000 29.930000 29.930000 RBC SED RATE NONAUTOMATED Each 61.000000 18.300000 13.680000 13.680000 URINE CULTURE/COLONY COUNT Each 75.000000 22.500000 31.100000 31.100000 SARS-COV-2 COVID-19 AMP PRB Each 217.000000 65.100000 51.310000 51.310000 ELECTROCARDIOGRAM TRACING Each 156.000000 46.800000 58.570000 58.570000 CARDIOVASCULAR STRESS TEST Each 705.000000 211.500000 262.050000 262.050000 TTE W/DOPPLER COMPLETE Each 1975.000000 592.500000 678.230000 678.230000 DOPPLER ECHO EXAM HEART Each 646.000000 193.800000 646.000000 646.000000 DOPPLER COLOR FLOW ADD-ON Each 783.000000 234.900000 678.230000 678.230000 STRESS TTE COMPLETE Each 1390.000000 417.000000 323.950000 323.950000 L HRT ARTERY/VENTRICLE ANGIO Each 11586.420000 3475.926000 4942.000000 4942.000000 EXTRACRANIAL BILAT STUDY Each 966.000000 289.800000 419.260000 419.260000 EXTREMITY STUDY Each 635.000000 190.500000 419.260000 419.260000 SLEEP STUDY UNATT&RESP EFFT Each 1984.000000 595.200000 1309.305000 1309.305000 THER/PROPH/DIAG INJ SC/IM Each 181.000000 54.300000 156.440000 156.440000 THERAPEUTIC EXERCISES Each 200.000000 60.000000 148.150000 148.150000 PT EVAL MOD COMPLEX 30 MIN Each 206.000000 61.800000 118.930000 118.930000 Als iv drug therapy supplies Each 119.717272 35.915182 69.722000 107.900000 Ground mileage Each 66.812557 20.043767 5.970000 166.075000 Als1-emergency Each 1307.000000 392.100000 266.910000 1380.000000 Bls Each 840.000000 252.000000 141.250000 546.000000 Bls-emergency Each 979.000000 293.700000 165.197692 499.025000 Tc99m sestamibi Each 168.000000 50.400000 168.000000 168.000000 Tc99m maa Each 286.000000 85.800000 185.900000 185.900000 Anchor/screw bn/bn,tis/bn Each 5481.000000 1644.300000 2247.210000 2247.210000 Hosp OP clin spec coll (Sars-cov-2) (cov Each 65.000000 19.500000 23.000000 23.000000 Colon ca scrn not hi rsk ind Each 3168.800000 950.640000 1287.000000 1287.000000 Hhc pt assistant ea 15 Each 1024.913333 307.474000 1024.913333 1024.913333 Tomosynthesis, mammo Each 68.000000 20.400000 68.000000 68.000000 Denosumab injection Each 3349.150000 1004.745000 1674.580000 1674.580000 Inj heparin sodium per 1000u Each 29.320000 8.796000 19.060000 19.060000 Regadenoson injection Each 758.660000 227.598000 493.130000 493.130000 EMERGENCY DEPT VISIT Each 437.000000 131.100000 62.360000 231.610000 EMERGENCY DEPT VISIT Each 1017.020000 305.106000 112.900000 972.750000 EMERGENCY DEPT VISIT Each 1949.420000 584.826000 115.770000 1284.250000 EMERGENCY DEPT VISIT Each 4734.120000 1420.236000 334.040000 1713.350000 EMERGENCY DEPT VISIT Each 6389.710000 1916.913000 394.790000 3409.330000 CRITICAL CARE FIRST HOUR Each 10176.710000 3053.013000 761.770000 5977.160000 CRITICAL CARE ADDL 30 MIN Each 10839.820000 3251.946000 1928.260000 3384.600000 DRAINAGE OF SKIN ABSCESS Each 3406.789600 1022.036880 129.190000 1287.000000 DRAINAGE OF SKIN ABSCESS Each 3057.258571 917.177571 250.000000 494.340000 DRAINAGE OF PILONIDAL CYST Each 10689.970000 3206.991000 250.000000 250.000000 REMOVE FOREIGN BODY Each 5229.000000 1568.700000 286.210000 482.470000 DRAINAGE OF HEMATOMA/FLUID Each 4236.700000 1271.010000 1229.550000 1590.790000 PUNCTURE DRAINAGE OF LESION Each 878.000000 263.400000 312.000000 312.000000 COMPLEX DRAINAGE WOUND Each 6049.000000 1814.700000 2638.000000 3501.600000 DEBRIDE SKIN AT FX SITE Each 5871.153333 1761.346000 250.000000 298.000000 DEBRIDE SKIN MUSC AT FX SITE Each 3615.500000 1084.650000 283.500000 283.500000 DEB SUBQ TISSUE 20 SQ CM/< Each 878.000000 263.400000 200.571428 836.000000 DEB MUSC/FASCIA 20 SQ CM/< Each 2087.509375 626.252813 250.000000 2930.090000 DEB BONE 20 SQ CM/< Each 6192.240000 1857.672000 250.000000 1340.000000 TRIM SKIN LESION Each 493.000000 147.900000 250.000000 250.000000 TRIM SKIN LESIONS 2 TO 4 Each 493.000000 147.900000 156.520000 156.520000 EXC TR-EXT B9+MARG 0.5 CM< Each 4354.395833 1306.318750 461.083333 609.410000 EXC TR-EXT B9+MARG 0.6-1 CM Each 4382.793333 1314.838000 178.500000 312.000000 EXC TR-EXT B9+MARG 1.1-2 CM Each 3713.400909 1114.020273 216.750000 706.990000 EXC TR-EXT B9+MARG 2.1-3CM Each 3971.928888 1191.578666 250.000000 943.790000 EXC TR-EXT B9+MARG 3.1-4 CM Each 3293.790000 988.137000 250.000000 1590.790000 EXC TR-EXT B9+MARG >4.0 CM Each 5415.720000 1624.716000 250.000000 2123.640000 EXC H-F-NK-SP B9+MARG 0.5/< Each 3111.800000 933.540000 367.125000 2783.250000 EXC H-F-NK-SP B9+MARG 0.6-1 Each 2139.330000 641.799000 283.500000 298.000000 EXC H-F-NK-SP B9+MARG 1.1-2 Each 3569.366000 1070.809800 1026.500000 2123.640000 EXC H-F-NK-SP B9+MARG 2.1-3 Each 6418.000000 1925.400000 250.000000 1383.000000 EXC H-F-NK-SP B9+MARG 3.1-4 Each 5270.000000 1581.000000 1340.000000 1340.000000 EXC FACE-MM B9+MARG 0.5 CM/< Each 4984.500000 1495.350000 320.000000 850.500000 EXC FACE-MM B9+MARG >4 CM Each 6172.000000 1851.600000 2913.210000 2913.210000 REMOVAL SWEAT GLAND LESION Each 5229.000000 1568.700000 674.190000 2638.000000 EXC TR-EXT MAL+MARG 0.5 CM/< Each 4782.750000 1434.825000 289.000000 596.000000 EXC TR-EXT MAL+MARG 0.6-1 CM Each 2922.000000 876.600000 298.000000 298.000000 EXC TR-EXT MAL+MARG 1.1-2 CM Each 3757.750000 1127.325000 300.520000 458.630000 EXC S/N/H/F/G MAL+MRG 2.1-3 Each 6213.000000 1863.900000 1383.000000 1383.000000 EXC F/E/E/N/L MAL+MRG 1.1-2 Each 2922.000000 876.600000 596.000000 596.000000 DRAIN BLOOD FROM UNDER NAIL Each 1455.000000 436.500000 250.000000 250.000000 REMOVAL OF NAIL BED Each 1302.550000 390.765000 234.000000 482.050000 REPAIR OF NAIL BED Each 3725.750000 1117.725000 242.500000 576.030000 REMOVE PILONIDAL CYST SIMPLE Each 5576.796250 1673.038875 1974.000000 3587.700000 REMOVE PILONIDAL CYST COMPL Each 6131.000000 1839.300000 2263.000000 3587.700000 REMOVE DRUG IMPLANT DEVICE Each 5156.500000 1546.950000 177.500000 289.000000 RPR S/N/AX/GEN/TRNK 2.5CM/< Each 1181.965932 354.589780 171.000000 250.000000 RPR S/N/AX/GEN/TRNK2.6-7.5CM Each 1145.854848 343.756454 171.000000 250.000000 RPR S/N/AX/GEN/TRK7.6-12.5CM Each 1650.000000 495.000000 250.000000 250.000000 RPR S/N/A/GEN/TRK12.6-20.0CM Each 1577.333333 473.200000 250.000000 357.000000 RPR F/E/E/N/L/M 2.5 CM/< Each 1763.839268 529.151780 139.166666 250.000000 RPR F/E/E/N/L/M 2.6-5.0 CM Each 1650.000000 495.000000 171.000000 250.000000 CLOSURE OF SPLIT WOUND Each 5847.000000 1754.100000 428.250000 541.000000 INTMD RPR S/A/T/EXT 2.5 CM/< Each 3360.000000 1008.000000 185.150000 297.000000 INTMD RPR S/A/T/EXT 2.6-7.5 Each 2228.742500 668.622750 250.000000 357.000000 INTMD RPR S/TR/EXT 7.6-12.5 Each 5014.750000 1504.425000 156.000000 297.000000 INTMD RPR S/A/T/EXT 20.1-30 Each 550.000000 165.000000 270.500000 270.500000 INTMD RPR FACE/MM 2.5 CM/< Each 1359.105000 407.731500 250.000000 312.000000 INTMD RPR FACE/MM 2.6-5.0 CM Each 2684.420000 805.326000 297.000000 297.000000 CMPLX RPR S/A/L 1.1-2.5 CM Each 10638.090000 3191.427000 320.000000 320.000000 LATE CLOSURE OF WOUND Each 7003.135000 2100.940500 250.000000 1526.300000 FILLETED FINGER/TOE FLAP Each 8676.910000 2603.073000 320.000000 320.000000 WOUND PREP TRK/ARM/LEG Each 13195.120000 3958.536000 320.000000 1880.700000 WOUND PREP F/N/HF/G Each 3654.756052 1096.426816 222.610000 541.000000 SKIN SUB GRAFT TRNK/ARM/LEG Each 16478.710000 4943.613000 363.000000 940.350000 SKIN SUB GRAFT FACE/NK/HF/G Each 4327.000000 1298.100000 1383.000000 1584.000000 EXC SKIN ABD Each 18388.000000 5516.400000 5110.000000 5110.000000 DRESS/DEBRID P-THICK BURN S Each 1154.250000 346.275000 102.000000 270.340000 DESTRUCT B9 LESION 1-14 Each 492.000000 147.600000 156.520000 171.000000 CHEM CAUT OF GRANLTJ TISSUE Each 492.000000 147.600000 85.500000 85.500000 DRAINAGE OF BREAST LESION Each 1618.000000 485.400000 298.000000 596.000000 BX BREAST 1ST LESION US IMAG Each 3843.000000 1152.900000 250.000000 2072.670000 REMOVAL OF BREAST LESION Each 7403.993333 2221.198000 320.000000 3511.140000 DEEP MUSCLE BIOPSY Each 9213.210000 2763.963000 250.000000 250.000000 NEEDLE BIOPSY MUSCLE Each 3843.000000 1152.900000 1229.550000 1229.550000 BONE BIOPSY TROCAR/NEEDLE Each 3843.000000 1152.900000 1383.000000 1383.000000 INJECT SINUS TRACT FOR X-RAY Each 184.000000 55.200000 184.000000 184.000000 REMOVAL OF FOREIGN BODY Each 4819.000000 1445.700000 1590.790000 1590.790000 REMOVAL OF FOREIGN BODY Each 5106.000000 1531.800000 2263.000000 2263.000000 INJ TENDON SHEATH/LIGAMENT Each 6178.320000 1853.496000 256.000000 256.000000 DRAIN/INJ JOINT/BURSA W/O US Each 6799.000000 2039.700000 405.000000 405.000000 DRAIN/INJ JOINT/BURSA W/O US Each 5583.740000 1675.122000 250.000000 361.500000 REMOVAL OF SUPPORT IMPLANT Each 7263.834000 2179.150200 250.000000 4144.760000 REMOVAL OF TENDON FOR GRAFT Each 17120.450000 5136.135000 320.000000 320.000000 MUSCULOSKELETAL SURGERY Each 8176.625000 2452.987500 166.820000 211.000000 CLOSED TX NOSE FX W/O STABLJ Each 4163.000000 1248.900000 1034.000000 1034.000000 CLOSED TX NOSE FX W/ STABLJ Each 4409.000000 1322.700000 2249.000000 2556.000000 PERQ LUMBOSACRAL INJECTION Each 7328.000000 2198.400000 4133.640000 4133.640000 PARTIAL REMOVAL COLLAR BONE Each 2614.000000 784.200000 593.320000 1335.500000 REMOVE SHOULDER BONE PART Each 5757.068000 1727.120400 363.000000 4235.290000 REMOVAL OF HUMERUS LESION Each 9877.970000 2963.391000 363.000000 363.000000 INJECTION FOR SHOULDER X-RAY Each 878.000000 263.400000 250.000000 250.000000 REPAIR ROTATOR CUFF ACUTE Each 13457.000000 4037.100000 5358.510000 6932.860000 REPAIR ROTATOR CUFF CHRONIC Each 3105.000000 931.500000 1242.680000 9958.000000 REPAIR BICEPS TENDON Each 4644.475142 1393.342543 1092.000000 9255.050000 REPAIR SHOULDER CAPSULE Each 11163.000000 3348.900000 6932.860000 6932.860000 REPAIR SHOULDER CAPSULE Each 14201.000000 4260.300000 5836.000000 7277.750000 REPAIR SHOULDER CAPSULE Each 14694.750000 4408.425000 6932.860000 8747.640000 REPAIR SHOULDER CAPSULE Each 5188.000000 1556.400000 5836.000000 5836.000000 REVIS RECONST SHOULDER JOINT Each 8785.000000 2635.500000 11193.440000 11193.440000 TREAT CLAVICLE FRACTURE Each 9829.864666 2948.959400 363.000000 6932.860000 TREAT CLAVICLE DISLOCATION Each 18103.000000 5430.900000 5626.440000 5626.440000 TREAT HUMERUS FRACTURE Each 12219.666666 3665.900000 5150.000000 11193.440000 TREAT SHOULDER DISLOCATION Each 1830.477500 549.143250 211.000000 250.000000 TREAT DISLOCATION/FRACTURE Each 14210.353333 4263.106000 363.000000 9255.050000 FIXATION OF SHOULDER Each 4041.977500 1212.593250 1214.130000 2097.010000 EXC ARM/ELBOW LES SC < 3 CM Each 5516.000000 1654.800000 772.000000 772.000000 REMOVAL OF ELBOW BURSA Each 5175.666666 1552.700000 1335.500000 2671.000000 PARTIAL REMOVAL OF ELBOW Each 3388.000000 1016.400000 2671.000000 2671.000000 REMOVAL OF ARM FOREIGN BODY Each 6520.210000 1956.063000 250.000000 250.000000 MANIPULATE ELBOW W/ANESTH Each 2705.000000 811.500000 691.500000 691.500000 REPAIR ARM TENDON/MUSCLE Each 5516.000000 1654.800000 4983.000000 7515.100000 REPAIR OF RUPTURED TENDON Each 8000.122000 2400.036600 5720.500000 9255.050000 RECONSTRUCT ELBOW LAT LIGMNT Each 10917.000000 3275.100000 5836.000000 5836.000000 REPAIR ELBOW DEB/ATTCH OPEN Each 8498.000000 2549.400000 363.000000 4235.290000 TREAT HUMERUS FRACTURE Each 17113.520000 5134.056000 363.000000 363.000000 TREAT HUMERUS FRACTURE Each 13307.000000 3992.100000 10280.000000 10280.000000 TREAT HUMERUS FRACTURE Each 17848.000000 5354.400000 11610.000000 11610.000000 TREAT HUMERUS FRACTURE Each 7432.000000 2229.600000 11610.000000 11610.000000 TREAT HUMERUS FRACTURE Each 12153.000000 3645.900000 18412.350000 18412.350000 TREAT ELBOW FRACTURE Each 13940.225000 4182.067500 363.000000 10660.420000 TREAT ELBOW DISLOCATION Each 1701.870000 510.561000 250.000000 250.000000 TREAT ULNAR FRACTURE Each 18090.446666 5427.134000 363.000000 5836.000000 INCISION OF TENDON SHEATH Each 5100.910000 1530.273000 643.660000 1570.860000 REMOVE WRIST TENDON LESION Each 4491.000000 1347.300000 250.000000 2015.700000 INJECTION FOR WRIST X-RAY Each 215.700000 64.710000 215.700000 215.700000 REPAIR FOREARM TENDON/MUSCLE Each 2942.500000 882.750000 3172.610000 3172.610000 TRANSPLANT FOREARM TENDON Each 4126.000000 1237.800000 1319.000000 4026.270000 REPAIR WRIST JOINTS Each 6939.000000 2081.700000 2574.760000 3439.050000 TREAT FRACTURE OF RADIUS Each 14683.320000 4404.996000 250.000000 250.000000 TREAT FRACTURE OF RADIUS Each 16116.870000 4835.061000 250.000000 250.000000 TREAT FRACTURE OF ULNA Each 8293.000000 2487.900000 6932.860000 6932.860000 TREAT FRACTURE RADIUS & ULNA Each 5518.770000 1655.631000 250.000000 250.000000 TREAT FX DISTAL RADIAL Each 8163.170000 2448.951000 250.000000 905.000000 TREAT FX RAD EXTRA-ARTICUL Each 9837.466153 2951.239846 297.000000 7515.100000 TREAT FX RAD INTRA-ARTICUL Each 11839.665000 3551.899500 297.000000 5836.000000 TREAT FX RADIAL 3+ FRAG Each 12469.295000 3740.788500 297.000000 5836.000000 TREAT WRIST BONE FRACTURE Each 9851.000000 2955.300000 9032.930000 9032.930000 TREAT FRACTURE ULNAR STYLOID Each 8580.000000 2574.000000 5358.510000 5358.510000 DRAINAGE OF FINGER ABSCESS Each 2964.666666 889.400000 202.510000 250.000000 DRAINAGE OF FINGER ABSCESS Each 5349.000000 1604.700000 250.000000 250.000000 RELEASE PALM CONTRACTURE Each 4411.500000 1323.450000 691.500000 1323.000000 RELEASE PALM CONTRACTURE Each 5557.000000 1667.100000 2671.000000 2671.000000 INCISE FINGER TENDON SHEATH Each 3742.763636 1122.829091 250.000000 1323.000000 EXPLORE/TREAT FINGER JOINT Each 3500.000000 1050.000000 3439.050000 3439.050000 EXC HAND LES SC < 1.5 CM Each 5188.000000 1556.400000 1340.000000 1383.000000 REMOVE TENDON SHEATH LESION Each 5024.000000 1507.200000 1214.130000 1323.000000 PARTIAL REMOVAL FINGER BONE Each 2071.000000 621.300000 1808.000000 1808.000000 REPAIR FINGER/HAND TENDON Each 14070.870000 4221.261000 297.000000 297.000000 REPAIR/GRAFT HAND TENDON Each 6459.000000 1937.700000 2671.000000 2671.000000 REPAIR FINGER/HAND TENDON Each 8508.000000 2552.400000 2671.000000 2671.000000 RELEASE PALM/FINGER TENDON Each 7473.000000 2241.900000 1274.840000 1274.840000 REPAIR HAND JOINT Each 6590.356666 1977.107000 250.000000 2638.000000 TREAT METACARPAL FRACTURE Each 8007.410000 2402.223000 250.000000 3439.050000 TREAT METACARPAL FRACTURE Each 11258.588333 3377.576500 250.000000 3090.210000 TREAT THUMB DISLOCATION Each 1787.000000 536.100000 250.000000 250.000000 TREAT THUMB FRACTURE Each 8714.860000 2614.458000 297.000000 297.000000 TREAT FINGER FRACTURE EACH Each 4573.000000 1371.900000 2638.000000 2671.000000 TREAT FINGER FRACTURE EACH Each 4000.000000 1200.000000 3349.720000 3349.720000 TREAT FINGER FRACTURE EACH Each 8291.200000 2487.360000 250.000000 250.000000 TREAT FINGER FRACTURE EACH Each 3615.500000 1084.650000 2638.000000 2638.000000 TREAT FINGER FRACTURE EACH Each 3490.500000 1047.150000 2671.000000 2671.000000 TREAT FINGER DISLOCATION Each 1787.000000 536.100000 250.000000 250.000000 FUSION OF KNUCKLE Each 8047.000000 2414.100000 5836.000000 5836.000000 AMPUTATION OF FINGER/THUMB Each 6090.000000 1827.000000 2671.000000 2671.000000 REMOVE FEMUR LESION/BURSA Each 4989.750000 1496.925000 1319.000000 2671.000000 INJECTION FOR HIP X-RAY Each 829.350000 248.805000 250.000000 250.000000 TREAT THIGH FRACTURE Each 4901.000000 1470.300000 9255.050000 9255.050000 PELVIS/HIP JOINT SURGERY Each 7281.500000 2184.450000 236.000000 236.000000 DRAIN THIGH/KNEE LESION Each 7801.000000 2340.300000 250.000000 250.000000 INCISE THIGH TENDON & FASCIA Each 5232.500000 1569.750000 2638.000000 2638.000000 EXPLORATION OF KNEE JOINT Each 4413.000000 1323.900000 2671.000000 2671.000000 EXPLORE/TREAT KNEE JOINT Each 4023.500000 1207.050000 2638.000000 4235.290000 REMOVAL OF KNEECAP BURSA Each 2594.000000 778.200000 3172.610000 3172.610000 REPAIR OF THIGH MUSCLE Each 8349.230000 2504.769000 5336.000000 5836.000000 AUTOCHONDROCYTE IMPLANT KNEE Each 10312.000000 3093.600000 5761.920000 5761.920000 OSTEOCHONDRAL KNEE ALLOGRAFT Each 10302.000000 3090.600000 11610.000000 11610.000000 REPAIR DEGENERATED KNEECAP Each 8679.666666 2603.900000 5336.000000 6932.860000 REVISION OF UNSTABLE KNEECAP Each 13115.090000 3934.527000 363.000000 363.000000 RECONSTRUCTION KNEE Each 21793.030000 6537.909000 363.000000 5836.000000 RECONSTRUCTION KNEE Each 17273.715000 5182.114500 363.000000 11610.000000 RECONSTRUCTION KNEE Each 6949.500000 2084.850000 14950.830000 14950.830000 TOTAL KNEE ARTHROPLASTY Each 13428.000000 4028.400000 10660.420000 10660.420000 REVISE/REPLACE KNEE JOINT Each 12493.000000 3747.900000 13792.510000 13792.510000 TREAT KNEECAP FRACTURE Each 10163.250000 3048.975000 5626.440000 5836.000000 TREAT KNEE FRACTURE Each 13598.000000 4079.400000 138.000000 138.000000 TREAT KNEECAP DISLOCATION Each 12344.150000 3703.245000 363.000000 363.000000 FIXATION OF KNEE JOINT Each 4985.748750 1495.724625 250.000000 1763.340000 LEG SURGERY PROCEDURE Each 4412.000000 1323.600000 118.000000 118.000000 DECOMPRESSION OF LOWER LEG Each 2694.130000 808.239000 2671.000000 2671.000000 DECOMPRESSION OF LOWER LEG Each 5270.000000 1581.000000 2671.000000 2671.000000 EXPLORE/TREAT ANKLE JOINT Each 6213.000000 1863.900000 2574.760000 2574.760000 EXPLORE/TREAT ANKLE JOINT Each 11186.820000 3356.046000 320.000000 320.000000 REMOVE LOWER LEG BONE LESION Each 5625.250000 1687.575000 2452.150000 2576.450000 REPAIR ACHILLES TENDON Each 6557.700000 1967.310000 5836.000000 7515.100000 REPAIR/GRAFT ACHILLES TENDON Each 10424.000000 3127.200000 5836.000000 13792.510000 REPAIR LOWER LEG TENDONS Each 6382.000000 1914.600000 2638.000000 2638.000000 REPAIR OF ANKLE LIGAMENT Each 5200.000000 1560.000000 5836.000000 7277.750000 REPAIR OF ANKLE LIGAMENTS Each 7176.305000 2152.891500 5358.510000 8379.833333 REPAIR OF ANKLE LIGAMENT Each 5183.333333 1555.000000 787.000000 7171.500000 INCISION OF TIBIA Each 10580.000000 3174.000000 9255.050000 9255.050000 REPAIR FIBULA NONUNION Each 8114.440000 2434.332000 5836.000000 6932.860000 TREATMENT OF TIBIA FRACTURE Each 3434.500000 1030.350000 17970.450000 17970.450000 OPTX MEDIAL ANKLE FX Each 8129.000000 2438.700000 5836.000000 5836.000000 TREATMENT OF ANKLE FRACTURE Each 6899.000000 2069.700000 5358.510000 8747.640000 TREATMENT OF ANKLE FRACTURE Each 11130.292000 3339.087600 297.000000 9255.050000 TREATMENT OF ANKLE FRACTURE Each 10261.000000 3078.300000 6932.860000 6932.860000 TREAT LOWER LEG JOINT Each 7637.000000 2291.100000 2668.000000 5836.000000 FUSION OF ANKLE JOINT OPEN Each 8529.000000 2558.700000 2073.310000 10660.420000 TREAT FOOT BONE LESION Each 5147.000000 1544.100000 2452.150000 2452.150000 INCISION OF FOOT FASCIA Each 4395.533333 1318.660000 1335.500000 3172.610000 REMOVAL OF FOOT LESION Each 5013.000000 1503.900000 777.990000 777.990000 REMOVAL OF FOOT LESION Each 11772.910000 3531.873000 250.000000 2638.000000 REMOVAL OF HEEL SPUR Each 7104.000000 2131.200000 2671.000000 2671.000000 PART REMOVAL OF ANKLE/HEEL Each 4843.500000 1453.050000 1335.500000 1335.500000 REMOVAL OF FOOT FOREIGN BODY Each 2835.000000 850.500000 596.000000 596.000000 REMOVAL OF FOOT FOREIGN BODY Each 7350.000000 2205.000000 250.000000 1590.790000 REMOVAL OF FOOT FOREIGN BODY Each 10439.650000 3131.895000 1340.000000 1340.000000 REPAIR OF FOOT TENDON Each 6289.000000 1886.700000 250.000000 2671.000000 REVISION OF FOOT TENDON Each 7680.000000 2304.000000 5336.000000 5836.000000 REPAIR OF HAMMERTOE Each 4456.478571 1336.943571 1995.000000 4235.290000 CORRECTION HALLUX VALGUS Each 7104.000000 2131.200000 2671.000000 2671.000000 CORRECTION HALLUX VALGUS Each 7760.000000 2328.000000 5256.280000 5256.280000 INCISION OF METATARSAL Each 6694.000000 2008.200000 2671.000000 2671.000000 REPAIR OF METATARSALS Each 9865.500000 2959.650000 5336.000000 5336.000000 TREAT ANKLE FRACTURE Each 8252.000000 2475.600000 5836.000000 5836.000000 TREAT METATARSAL FRACTURE Each 9407.926000 2822.377800 363.000000 6932.860000 FUSION OF BIG TOE JOINT Each 6623.000000 1986.900000 5836.000000 5836.000000 AMPUTATION THRU METATARSAL Each 6459.000000 1937.700000 2671.000000 2671.000000 AMPUTATION OF TOE Each 6220.310000 1866.093000 250.000000 3172.610000 PARTIAL AMPUTATION OF TOE Each 1999.500000 599.850000 3463.000000 4235.290000 APPLY LONG ARM SPLINT Each 376.000000 112.800000 131.000000 131.000000 APPLY FOREARM SPLINT Each 310.000000 93.000000 107.000000 107.000000 APPLY RIGID LEG CAST Each 658.000000 197.400000 128.959090 266.350000 APPLICATION LONG LEG SPLINT Each 376.000000 112.800000 124.000000 124.000000 APPLICATION LOWER LEG SPLINT Each 376.000000 112.800000 124.000000 131.000000 APPLICATION OF PASTE BOOT Each 341.830512 102.549154 93.000000 358.000000 SHOULDER ARTHROSCOPY/SURGERY Each 12721.000000 3816.300000 363.000000 5836.000000 SHOULDER ARTHROSCOPY/SURGERY Each 27427.080000 8228.124000 363.000000 363.000000 SHOULDER ARTHROSCOPY/SURGERY Each 7051.714615 2115.514385 363.000000 4026.270000 SHOULDER ARTHROSCOPY/SURGERY Each 5776.755769 1733.026731 297.000000 5660.500000 SHOULDER ARTHROSCOPY/SURGERY Each 3084.269411 925.280823 1279.210000 9255.050000 SHOULDER ARTHROSCOPY/SURGERY Each 3181.010000 954.303000 1057.610000 1279.210000 ARTHROSCOP ROTATOR CUFF REPR Each 9328.201666 2798.460500 363.000000 6932.860000 ARTHROSCOPY BICEPS TENODESIS Each 22674.330000 6802.299000 363.000000 363.000000 ELBOW ARTHROSCOPY/SURGERY Each 8785.000000 2635.500000 2671.000000 2671.000000 WRIST ARTHROSCOPY/SURGERY Each 8756.026666 2626.808000 320.000000 2671.000000 WRIST ENDOSCOPY/SURGERY Each 6981.000000 2094.300000 1323.000000 1383.000000 TIBIAL ARTHROSCOPY/SURGERY Each 6330.500000 1899.150000 5336.000000 9032.930000 TIBIAL ARTHROSCOPY/SURGERY Each 9000.000000 2700.000000 11599.000000 11599.000000 HIP ARTHRO W/FB REMOVAL Each 4618.000000 1385.400000 2918.000000 2918.000000 HIP ARTHR0 W/DEBRIDEMENT Each 5013.000000 1503.900000 5836.000000 5836.000000 HIP ARTHR0 W/SYNOVECTOMY Each 4618.000000 1385.400000 2003.250000 2003.250000 KNEE ARTHROSCOPY DX Each 3721.333333 1116.400000 1319.000000 4235.290000 KNEE ARTHROSCOPY/DRAINAGE Each 7268.000000 2180.400000 2671.000000 2671.000000 KNEE ARTHROSCOPY/SURGERY Each 6887.945555 2066.383667 297.000000 3314.000000 KNEE ARTHROSCOPY/SURGERY Each 8817.000000 2645.100000 250.000000 2671.000000 KNEE ARTHROSCOPY/SURGERY Each 7104.000000 2131.200000 674.190000 4235.290000 KNEE ARTHROSCOPY/SURGERY Each 9592.538000 2877.761400 297.000000 4133.640000 KNEE ARTHROSCOPY/SURGERY Each 6858.000000 2057.400000 2214.833333 2638.000000 KNEE ARTHROSCOPY/SURGERY Each 6858.000000 2057.400000 1953.000000 4235.290000 KNEE ARTHROSCOPY/SURGERY Each 7522.303157 2256.690947 297.000000 4235.290000 KNEE ARTHROSCOPY/SURGERY Each 8694.000000 2608.200000 297.000000 4235.290000 KNEE ARTHROSCOPY/SURGERY Each 9970.616666 2991.185000 250.000000 8747.640000 KNEE ARTHROSCOPY/SURGERY Each 5843.500000 1753.050000 1335.500000 1335.500000 KNEE ARTHROSCOPY/SURGERY Each 11892.000000 3567.600000 297.000000 7171.500000 ANKLE ARTHROSCOPY/SURGERY Each 10095.120000 3028.536000 363.000000 1335.500000 HIP ARTHRO W/FEMOROPLASTY Each 10252.000000 3075.600000 5836.000000 5836.000000 HIP ARTHRO ACETABULOPLASTY Each 9523.000000 2856.900000 5336.000000 7515.100000 HIP ARTHRO W/LABRAL REPAIR Each 11564.000000 3469.200000 9255.050000 9255.050000 ARTHROSCOPY OF JOINT Each 4909.500000 1472.850000 105.500000 270.910000 EXCISE INFERIOR TURBINATE Each 3674.130000 1102.239000 1974.000000 1974.000000 RESECT INFERIOR TURBINATE Each 2517.968750 755.390625 1917.000000 5112.000000 REMOVE NASAL FOREIGN BODY Each 1070.000000 321.000000 250.000000 250.000000 REMOVE NASAL FOREIGN BODY Each 4578.310000 1373.493000 250.000000 250.000000 REMOVE NASAL FOREIGN BODY Each 4245.000000 1273.500000 1339.730000 1339.730000 REPAIR OF NASAL SEPTUM Each 4138.816000 1241.644800 1278.000000 5112.000000 NSL/SINS NDSC W/PRTL ETHMDCT Each 3593.000000 1077.900000 7270.500000 7270.500000 NSL/SINS NDSC W/TOT ETHMDCT Each 4045.030000 1213.509000 2709.000000 2709.000000 EXPLORATION MAXILLARY SINUS Each 5512.065000 1653.619500 1974.000000 2630.830000 INSERT EMERGENCY AIRWAY Each 1992.750000 597.825000 131.610000 363.000000 DX LARYNGOSCOPY EXCL NB Each 4962.760000 1488.828000 1396.000000 1396.000000 LARYNGOSCOPY W/BX & OP SCOPE Each 6858.000000 2057.400000 2630.830000 2630.830000 LARGSC W/LASER DSTRJ LES Each 9686.110000 2905.833000 250.000000 250.000000 CLEARANCE OF AIRWAYS Each 536.000000 160.800000 180.000000 250.000000 CLOSURE OF WINDPIPE LESION Each 6377.000000 1913.100000 2346.310000 2346.310000 PERCUT BX LUNG/MEDIASTINUM Each 3025.530000 907.659000 1219.850000 1219.850000 REMOVE LUNG CATHETER Each 1891.000000 567.300000 577.340000 577.340000 ASPIRATE PLEURA W/ IMAGING Each 2080.000000 624.000000 250.000000 250.000000 RMVL & RPLCMT DFB GEN MLT LD Each 69491.400000 20847.420000 6943.830000 6943.830000 INS CATH ABD/L-EXT ART 1ST Each 2235.000000 670.500000 363.000000 363.000000 NON-ROUTINE BL DRAW 3/> YRS Each 5098.000000 1529.400000 1433.920000 1433.920000 ROUTINE VENIPUNCTURE Each 14.000000 4.200000 0.650000 14.000000 BLOOD TRANSFUSION SERVICE Each 1070.000000 321.000000 250.000000 600.360000 INSERT NON-TUNNEL CV CATH Each 3056.000000 916.800000 1396.450000 1396.450000 INSERT TUNNELED CV CATH Each 7473.000000 2241.900000 2482.460000 3211.810000 INSERT TUNNELED CV CATH Each 13625.000000 4087.500000 297.000000 2704.000000 INSJ PICC 5 YR+ W/O IMAGING Each 3230.561875 969.168563 297.000000 2523.630000 INSERT PICVAD CATH Each 5352.000000 1605.600000 4287.630000 4287.630000 INSJ PICC RS&I 5 YR+ Each 3056.000000 916.800000 1592.000000 1592.000000 REPLACE TUNNELED CV CATH Each 5639.000000 1691.700000 2482.460000 2482.460000 REMOVAL TUNNELED CV CATH Each 4737.000000 1421.100000 564.800000 564.800000 DRAW BLOOD OFF VENOUS DEVICE Each 297.000000 89.100000 126.360000 126.360000 COLLECT BLOOD FROM PICC Each 297.000000 89.100000 99.000000 126.360000 DECLOT VASCULAR DEVICE Each 805.000000 241.500000 358.820000 358.820000 INJ W/FLUOR EVAL CV DEVICE Each 523.000000 156.900000 164.590000 284.280000 WITHDRAWAL OF ARTERIAL BLOOD Each 297.000000 89.100000 53.500000 107.000000 AV FUSION DIRECT ANY SITE Each 19414.080000 5824.224000 320.000000 320.000000 ARTERY-VEIN NONAUTOGRAFT Each 21788.000000 6536.400000 4484.000000 4484.000000 ILIAC REVASC Each 13069.000000 3920.700000 4437.610000 4833.000000 ILIAC REVASC W/STENT Each 23590.000000 7077.000000 8182.000000 8182.000000 FEM/POPL REVAS W/TLA Each 13069.000000 3920.700000 4833.000000 4833.000000 FEM/POPL REVAS W/ATHER Each 20284.170000 6085.251000 1665.625000 12066.560000 TIB/PER REVASC W/TLA Each 27011.000000 8103.300000 12343.000000 12343.000000 TEMPORAL ARTERY PROCEDURE Each 7678.000000 2303.400000 1291.030000 1291.030000 BIOPSY/REMOVAL LYMPH NODES Each 4873.666666 1462.100000 2956.000000 3511.140000 NEEDLE BIOPSY LYMPH NODES Each 3843.000000 1152.900000 250.000000 1383.000000 DRAINAGE OF GUM LESION Each 1432.000000 429.600000 250.000000 250.000000 DENTAL SURGERY PROCEDURE Each 6049.000000 1814.700000 161.000000 315.060000 REMOVAL OF SALIVARY STONE Each 4491.000000 1347.300000 2463.630000 2463.630000 DRAINAGE OF TONSIL ABSCESS Each 2611.420000 783.426000 250.000000 250.000000 REMOVE TONSILS AND ADENOIDS Each 4409.000000 1322.700000 363.000000 4409.000000 REMOVE TONSILS AND ADENOIDS Each 4204.000000 1261.200000 2556.000000 2556.000000 REMOVAL OF TONSILS Each 4819.000000 1445.700000 363.000000 2556.000000 REMOVAL OF ADENOIDS Each 5212.820000 1563.846000 363.000000 363.000000 REMOVAL OF ADENOIDS Each 3925.000000 1177.500000 3424.520000 3424.520000 EGD DIAGNOSTIC BRUSH WASH Each 2352.810000 705.843000 250.000000 1215.950000 EGD BIOPSY SINGLE/MULTIPLE Each 2352.810000 705.843000 222.010000 1672.000000 EGD DILATE STRICTURE Each 3080.000000 924.000000 1538.250000 1538.250000 EGD REMOVE FOREIGN BODY Each 2591.382000 777.414600 250.000000 769.000000 EGD GUIDE WIRE INSERTION Each 4901.000000 1470.300000 769.000000 769.000000 ESOPH EGD DILATION <30 MM Each 3032.587500 909.776250 363.000000 1956.550000 LAPAROSCOPY FUNDOPLASTY Each 12691.500000 3807.450000 8208.000000 8878.000000 LAP PARAESOPHAG HERN REPAIR Each 24223.000000 7266.900000 8208.000000 8208.000000 RPLC GTUBE NO REVJ TRC Each 2005.175000 601.552500 230.000000 297.000000 LAP PLACE GASTR ADJ DEVICE Each 15043.000000 4512.900000 411.500000 12837.560000 LAP RMVL GASTR ADJ ALL PARTS Each 10529.833333 3158.950000 2926.000000 4640.080000 REVISE GASTRIC PORT OPEN Each 9208.000000 2762.400000 2667.000000 2667.000000 CHANGE GASTRIC PORT OPEN Each 7933.500000 2380.050000 2638.000000 2638.000000 STOMACH SURGERY PROCEDURE Each 2102.000000 630.600000 1215.950000 1215.950000 LAP ENTEROLYSIS Each 9688.000000 2906.400000 4329.940000 4329.940000 SMALL BOWEL ENDOSCOPY Each 2273.000000 681.900000 2351.720000 2351.720000 COLONOSCOPY THRU STOMA SPX Each 2273.000000 681.900000 769.000000 769.000000 LAPAROSCOPY APPENDECTOMY Each 10695.637419 3208.691226 363.000000 7478.540000 EXC RECT TUM TRANSANAL FULL Each 7976.000000 2392.800000 2249.000000 2249.000000 DIAGNOSTIC SIGMOIDOSCOPY Each 2273.000000 681.900000 342.140000 1181.850000 SIGMOIDOSCOPY AND BIOPSY Each 1993.000000 597.900000 885.320000 885.320000 DIAGNOSTIC COLONOSCOPY Each 2336.670000 701.001000 250.000000 1655.000000 COLONOSCOPY AND BIOPSY Each 2273.000000 681.900000 250.000000 1973.100000 COLONOSCOPY W/LESION REMOVAL Each 1884.579841 565.373952 250.000000 1672.000000 REPAIR OF RECTOCELE Each 3296.000000 988.800000 3266.500000 3266.500000 REMOVE RECTAL OBSTRUCTION Each 4614.000000 1384.200000 980.000000 980.000000 INCISION OF RECTAL ABSCESS Each 4655.000000 1396.500000 951.000000 1163.850000 INCISION OF ANAL ABSCESS Each 11041.020000 3312.306000 250.000000 250.000000 REMOVAL OF ANAL FISSURE Each 6991.745000 2097.523500 250.000000 2287.000000 REMOVE EXT HEM GROUPS 2+ Each 4044.000000 1213.200000 2249.000000 2716.830000 REMOVE INT/EXT HEM 1 GROUP Each 7525.000000 2257.500000 905.000000 2944.990000 REMOVE IN/EX HEM GRP & FISS Each 7145.000000 2143.500000 2287.000000 2287.000000 REMOVE IN/EX HEM GRP W/FISTU Each 5844.000000 1753.200000 2287.000000 2287.000000 REMOVE IN/EX HEM GROUPS 2+ Each 7944.412857 2383.323857 297.000000 2716.830000 REMOVE ANAL FIST SUBQ Each 5885.000000 1765.500000 2287.000000 2287.000000 REMOVAL OF HEMORRHOID CLOT Each 7898.576666 2369.573000 250.000000 980.000000 DESTRUCTION ANAL LESION(S) Each 4778.000000 1433.400000 1584.000000 1584.000000 ANUS SURGERY PROCEDURE Each 3937.500000 1181.250000 746.000000 885.320000 NEEDLE BIOPSY OF LIVER Each 3843.000000 1152.900000 297.000000 1340.000000 LAPAROSCOPIC CHOLECYSTECTOMY Each 10440.695666 3132.208700 363.000000 7478.540000 LAPARO CHOLECYSTECTOMY/GRAPH Each 15485.310000 4645.593000 363.000000 363.000000 ABD PARACENTESIS W/IMAGING Each 2695.000000 808.500000 250.000000 1186.770000 SCLEROTX FLUID COLLECTION Each 1721.000000 516.300000 921.140000 921.140000 DIAG LAPARO SEPARATE PROC Each 5762.000000 1728.600000 4426.000000 5602.100000 LAPAROSCOPY ASPIRATION Each 7836.890000 2351.067000 363.000000 9158.000000 LAP INSERT TUNNEL IP CATH Each 6049.000000 1814.700000 4329.940000 4329.940000 LAPARO PROC ABDM/PER/OMENT Each 7606.000000 2281.800000 4329.940000 4329.940000 IMAGE CATH FLUID TRNS/VGNL Each 2463.420000 739.026000 250.000000 250.000000 PRP I/HERN INIT REDUC >5 YR Each 10313.000000 3093.900000 363.000000 4810.660000 PRP I/HERN INIT BLOCK >5 YR Each 11136.165000 3340.849500 363.000000 1509.350000 REREPAIR ING HERNIA REDUCE Each 8466.666666 2540.000000 2785.280000 4810.660000 REREPAIR VENTRL HERN BLOCK Each 25081.790000 7524.537000 363.000000 363.000000 RPR UMBIL HERN REDUC > 5 YR Each 6998.000000 2099.400000 363.000000 4523.500000 RPR UMBIL HERN BLOCK > 5 YR Each 8358.000000 2507.400000 3034.000000 3034.000000 LAP ING HERNIA REPAIR INIT Each 11388.000000 3416.400000 363.000000 5602.100000 LAP ING HERNIA REPAIR RECUR Each 10283.000000 3084.900000 5602.100000 5602.100000 LAP VENT/ABD HERNIA REPAIR Each 16590.215000 4977.064500 363.000000 5868.400000 LAP VENT/ABD HERN PROC COMP Each 13335.001666 4000.500500 363.000000 5602.100000 LAP INC HERNIA REPAIR Each 11248.022500 3374.406750 363.000000 13016.460000 LAP INC HERN REPAIR COMP Each 12872.038888 3861.611666 363.000000 13016.460000 LAP INC HERNIA REPAIR RECUR Each 11624.666666 3487.400000 7571.000000 13016.460000 REMOVAL OF KIDNEY STONE Each 11101.500000 3330.450000 1092.000000 7871.000000 RENAL BIOPSY PERQ Each 3996.000000 1198.800000 1340.000000 1340.000000 REMOVE RENAL TUBE W/FLUORO Each 1571.000000 471.300000 523.460000 523.460000 PLMT NEPHROSTOMY CATHETER Each 4860.000000 1458.000000 193.000000 2053.160000 FRAGMENTING OF KIDNEY STONE Each 4996.352500 1498.905750 1322.170000 4670.180000 CHANGE OF URETER TUBE/STENT Each 4860.000000 1458.000000 1666.270000 1666.270000 PLMT URETERAL STENT PRQ Each 8517.000000 2555.100000 2839.150000 2839.150000 PLMT URETERAL STENT PRQ Each 6355.000000 1906.500000 2839.150000 2839.150000 REVISE URETER Each 4900.000000 1470.000000 2131.000000 2131.000000 INJECTION FOR BLADDER X-RAY Each 1481.500000 444.450000 250.000000 250.000000 IRRIGATION OF BLADDER Each 2286.500000 685.950000 115.000000 115.000000 INSERT BLADDER CATHETER Each 297.000000 89.100000 97.670000 107.000000 INSERT TEMP BLADDER CATH Each 297.000000 89.100000 107.000000 107.000000 US URINE CAPACITY MEASURE Each 156.000000 46.800000 32.480000 54.000000 CYSTOSCOPY Each 2656.252500 796.875750 209.000000 523.460000 CYSTOSCOPY REMOVAL OF CLOTS Each 6986.500000 2095.950000 1472.500000 1472.500000 CYSTOSCOPY & URETER CATHETER Each 7984.745000 2395.423500 250.000000 2424.910000 CYSTOSCOPY W/BIOPSY(S) Each 5821.500000 1746.450000 864.500000 864.500000 CYSTOSCOPY AND TREATMENT Each 7842.000000 2352.600000 2945.000000 2945.000000 CYSTOSCOPY AND TREATMENT Each 5212.000000 1563.600000 4492.100000 4492.100000 CYSTOSCOPY AND TREATMENT Each 6986.500000 2095.950000 4129.000000 4129.000000 CYSTOSCOPY AND TREATMENT Each 3145.357142 943.607143 1586.920000 2053.160000 CYSTOSCOPY AND TREATMENT Each 5352.000000 1605.600000 320.000000 2740.880000 CYSTOSCOPY CHEMODENERVATION Each 6202.000000 1860.600000 1663.000000 1729.000000 CYSTOSCOPY AND TREATMENT Each 5899.570000 1769.871000 363.000000 1729.000000 REMOVE BLADDER STONE Each 2255.000000 676.500000 856.180000 856.180000 CYSTOSCOPY STONE REMOVAL Each 2091.000000 627.300000 2091.000000 2091.000000 CYSTOSCOPY AND TREATMENT Each 6914.000000 2074.200000 2945.000000 2945.000000 CYSTOSCOPY AND TREATMENT Each 6407.000000 1922.100000 363.000000 4670.180000 CYSTOURETERO & OR PYELOSCOPE Each 3757.000000 1127.100000 2945.000000 2945.000000 CYSTOURETERO W/STONE REMOVE Each 3392.200000 1017.660000 2945.000000 4670.180000 CYSTO/URETERO W/LITHOTRIPSY Each 8565.800000 2569.740000 3790.600000 6547.010000 CYSTOURETHRO W/IMPLANT Each 3343.000000 1002.900000 327.380000 327.380000 CYSTOURETHRO W/ADDL IMPLANT Each 1271.000000 381.300000 87.600000 87.600000 URETHRLYS TRANSVAG W/ SCOPE Each 8753.000000 2625.900000 2703.950000 2703.950000 CIRCUMCISION W/REGIONL BLOCK Each 4860.000000 1458.000000 250.000000 250.000000 CIRCUM 28 DAYS OR OLDER Each 7977.090000 2393.127000 250.000000 2053.160000 REDUCE TESTIS TORSION Each 7760.120000 2328.036000 363.000000 363.000000 REMOVAL OF HYDROCELE Each 5639.000000 1691.700000 2924.540000 2924.540000 REMOVAL OF SPERM DUCT(S) Each 4983.000000 1494.900000 1729.000000 2740.880000 REMOVAL OF SPERM CORD LESION Each 5326.500000 1597.950000 1472.500000 1509.350000 BIOPSY OF PROSTATE Each 5626.071428 1687.821428 241.690000 2740.880000 I & D OF VULVA/PERINEUM Each 5147.000000 1544.100000 265.000000 265.000000 EXPLORATION OF VAGINA Each 5499.740000 1649.922000 2895.210000 2895.210000 I & D VAG HEMATOMA NON-OB Each 7268.280000 2180.484000 1274.000000 1274.000000 DESTROY VAG LESIONS SIMPLE Each 6371.560000 1911.468000 2370.000000 2370.000000 DESTROY VAG LESIONS COMPLEX Each 4884.000000 1465.200000 3864.980000 3864.980000 REMOVE VAGINA LESION Each 8696.910000 2609.073000 297.000000 297.000000 REPAIR OF VAGINA Each 6658.000000 1997.400000 2438.000000 2438.000000 ANTERIOR COLPORRHAPHY Each 5963.500000 1789.050000 1950.280000 1950.280000 REPAIR RECTUM & VAGINA Each 4831.000000 1449.300000 5032.500000 5032.500000 CMBN ANT PST COLPRHY Each 7536.500000 2260.950000 2105.000000 2105.000000 REPAIR BLADDER DEFECT Each 9112.734615 2733.820385 320.000000 4950.570000 PELVIC EXAMINATION Each 4000.000000 1200.000000 2303.800000 3864.980000 CONIZATION OF CERVIX Each 7235.295000 2170.588500 320.000000 2438.000000 CONIZATION OF CERVIX Each 4573.000000 1371.900000 2438.000000 3772.220000 DILATION AND CURETTAGE Each 5946.948750 1784.084625 1672.000000 3772.220000 MYOMECTOMY VAG METHOD Each 5188.000000 1556.400000 2438.000000 2438.000000 VAGINAL HYSTERECTOMY Each 10568.000000 3170.400000 4210.000000 4210.000000 VAG HYST INCLUDING T/O Each 9208.000000 2762.400000 363.000000 7810.166666 VAG HYST INCL T/O COMPLEX Each 12918.000000 3875.400000 4168.000000 4168.000000 INSERT INTRAUTERINE DEVICE Each 2823.610000 847.083000 40.480000 211.950000 REMOVE INTRAUTERINE DEVICE Each 3372.000000 1011.600000 132.000000 265.000000 ENDOMETR ABLATE THERMAL Each 4267.346666 1280.204000 3826.360000 6332.250000 LSH UTERUS 250 G OR LESS Each 9441.000000 2832.300000 3701.500000 3701.500000 LSH W/T/O UTERUS ABOVE 250 G Each 12475.000000 3742.500000 7571.000000 7571.000000 LAPARO-VAG HYST INCL T/O Each 13295.000000 3988.500000 13016.460000 13016.460000 LAPARO-VAG HYST W/T/O COMPL Each 10425.000000 3127.500000 8208.000000 8208.000000 HYSTEROSCOPY BIOPSY Each 6506.152000 1951.845600 363.000000 3772.220000 HYSTEROSCOPY RESECT SEPTUM Each 6450.000000 1935.000000 6608.780000 6608.780000 HYSTEROSCOPY REMOVE FB Each 2163.500000 649.050000 2895.210000 2895.210000 HYSTEROSCOPY ABLATION Each 7129.793571 2138.938071 363.000000 6608.780000 TLH W/T/O 250 G OR LESS Each 14023.000000 4206.900000 363.000000 13016.460000 TLH W/T/O UTERUS OVER 250 G Each 17253.000000 5175.900000 10569.370000 10569.370000 LAPARO PROC UTERUS Each 8293.000000 2487.900000 4716.000000 4716.000000 LAPAROSCOPY REMOVE ADNEXA Each 7268.000000 2180.400000 363.000000 7478.540000 LAPAROSCOPY EXCISE LESIONS Each 9210.097500 2763.029250 363.000000 4716.000000 LAPAROSCOPY TUBAL CAUTERY Each 6570.954285 1971.286286 363.000000 7053.640000 REMOVAL OF FALLOPIAN TUBE Each 8621.000000 2586.300000 1034.000000 1034.000000 GENITAL SURGERY PROCEDURE Each 2350.000000 705.000000 81.000000 81.000000 FETAL NON-STRESS TEST Each 463.000000 138.900000 148.740000 286.650000 TREAT ECTOPIC PREGNANCY Each 11606.246666 3481.874000 363.000000 4716.000000 ANTEPARTUM MANIPULATION Each 7065.446666 2119.634000 250.000000 2638.000000 TREATMENT OF MISCARRIAGE Each 6043.244000 1812.973200 320.000000 2438.000000 CARE OF MISCARRIAGE Each 4949.509000 1484.852700 320.000000 2895.210000 TREATMENT OF MISCARRIAGE Each 7291.490000 2187.447000 2438.000000 2438.000000 BIOPSY OF THYROID Each 1618.000000 485.400000 250.000000 250.000000 REMOVE THYROID DUCT LESION Each 8613.000000 2583.900000 4716.000000 4716.000000 DX LMBR SPI PNXR Each 1446.275000 433.882500 278.810000 610.000000 INJECT EPIDURAL PATCH Each 1673.000000 501.900000 587.910000 943.840000 MYELOGRAPHY LUMBAR INJECTION Each 1932.000000 579.600000 609.860000 609.860000 NJX INTERLAMINAR LMBR/SAC Each 1673.000000 501.900000 250.000000 610.000000 DX LMBR SPI PNXR W/FLUOR/CT Each 1749.000000 524.700000 250.000000 943.840000 NJX AA&/STRD BRACH PLEXUS Each 863.020000 258.906000 144.500000 12820.450000 NJX AA&/STRD FEMORAL NERVE Each 702.000000 210.600000 395.140000 1092.000000 IMPLANT NEUROELECTRODES Each 7238.000000 2171.400000 6036.000000 6036.000000 INSRT/REDO PN/GASTR STIMUL Each 2424.340000 727.302000 21827.000000 22344.150000 REVISE ULNAR NERVE AT ELBOW Each 4023.604705 1207.081412 320.000000 2660.110000 CARPAL TUNNEL SURGERY Each 4860.000000 1458.000000 320.000000 2660.110000 REMOVE FOREIGN BODY FROM EYE Each 1663.000000 498.900000 250.000000 250.000000 DRAIN EXTERNAL EAR LESION Each 5188.000000 1556.400000 1340.000000 1340.000000 CLEAR OUTER EAR CANAL Each 1070.000000 321.000000 250.000000 250.000000 CLEAR OUTER EAR CANAL Each 4211.040000 1263.312000 250.000000 250.000000 REMOVE IMPACTED EAR WAX UNI Each 1917.500000 575.250000 40.500000 40.500000 REMOVE VENTILATING TUBE Each 4040.000000 1212.000000 2463.630000 2463.630000 CREATE EARDRUM OPENING Each 2996.010000 898.803000 250.000000 1975.500000 X-RAY EXAM OF JAW 4/> VIEWS Each 333.000000 99.900000 26.000000 129.910000 X-RAY EXAM OF FACIAL BONES Each 314.000000 94.200000 18.000000 18.000000 X-RAY EXAM OF NASAL BONES Each 282.000000 84.600000 23.000000 123.480000 X-RAY EXAM OF SINUSES Each 263.000000 78.900000 14.000000 73.670000 X-RAY EXAM OF SINUSES Each 404.000000 121.200000 30.000000 95.620000 X-RAY EXAM OF SKULL Each 314.000000 94.200000 12.410000 12.410000 X-RAY EXAM OF SKULL Each 314.000000 94.200000 30.000000 30.000000 X-RAY EXAM OF NECK Each 224.000000 67.200000 10.000000 92.500000 CT HEAD/BRAIN W/O DYE Each 1479.000000 443.700000 100.400000 173.410000 CT HEAD/BRAIN W/DYE Each 1706.000000 511.800000 168.210000 208.000000 CT HEAD/BRAIN W/O & W/DYE Each 2092.000000 627.600000 168.210000 772.000000 CT ORBIT/EAR/FOSSA W/O DYE Each 1724.000000 517.200000 100.400000 182.000000 CT ORBIT/EAR/FOSSA W/DYE Each 1760.500000 528.150000 221.000000 221.000000 CT MAXILLOFACIAL W/O DYE Each 1740.000000 522.000000 77.600000 178.000000 CT MAXILLOFACIAL W/DYE Each 1511.000000 453.300000 168.210000 176.000000 CT SOFT TISSUE NECK W/O DYE Each 1415.000000 424.500000 147.436666 147.436666 CT SOFT TISSUE NECK W/DYE Each 1713.000000 513.900000 163.230000 787.000000 CT ANGIOGRAPHY HEAD Each 1982.000000 594.600000 141.167500 280.900000 CT ANGIOGRAPHY NECK Each 1992.000000 597.600000 168.210000 372.840000 MRI ORBIT/FACE/NECK W/O DYE Each 2209.000000 662.700000 215.120000 215.120000 MRI ORBT/FAC/NCK W/O &W/DYE Each 3048.000000 914.400000 264.370000 275.710000 MR ANGIOGRAPHY HEAD W/O DYE Each 3100.000000 930.000000 219.640000 219.640000 MRI BRAIN STEM W/O DYE Each 2745.000000 823.500000 198.700000 1518.885000 MRI BRAIN STEM W/O & W/DYE Each 4484.000000 1345.200000 342.050000 3399.000000 X-RAY EXAM CHEST 1 VIEW Each 174.000000 52.200000 11.860000 123.480000 X-RAY EXAM CHEST 2 VIEWS Each 174.000000 52.200000 21.870000 123.480000 X-RAY EXAM CHEST 3 VIEWS Each 174.000000 52.200000 92.500000 92.500000 X-RAY EXAM RIBS UNI 2 VIEWS Each 174.000000 52.200000 17.000000 100.260000 X-RAY EXAM UNILAT RIBS/CHEST Each 352.000000 105.600000 17.000000 103.470000 X-RAY EXAM RIBS/CHEST4/> VWS Each 331.000000 99.300000 32.000000 103.470000 X-RAY EXAM BREASTBONE 2/>VWS Each 240.000000 72.000000 14.000000 14.000000 CT THORAX W/O DYE Each 1582.000000 474.600000 100.400000 436.200000 CT THORAX W/DYE Each 1813.000000 543.900000 141.167500 920.000000 CT ANGIOGRAPHY CHEST Each 2279.000000 683.700000 163.230000 920.000000 X-RAY EXAM OF SPINE 1 VIEW Each 249.000000 74.700000 28.000000 73.670000 X-RAY EXAM NECK SPINE 2-3 VW Each 315.000000 94.500000 28.000000 95.620000 X-RAY EXAM NECK SPINE 4/5VWS Each 393.000000 117.900000 32.000000 294.750000 X-RAY EXAM NECK SPINE 6/>VWS Each 709.000000 212.700000 103.470000 129.910000 X-RAY EXAM THORAC SPINE 3VWS Each 314.000000 94.200000 28.000000 169.250000 X-RAY EXAM THORACOLMB 2/> VW Each 273.000000 81.900000 92.500000 92.500000 X-RAY EXAM ENTIRE SPI 2/3 VW Each 314.000000 94.200000 42.840000 140.810000 X-RAY EXAM L-S SPINE 2/3 VWS Each 318.000000 95.400000 28.000000 173.410000 X-RAY EXAM L-2 SPINE 4/>VWS Each 386.000000 115.800000 40.000000 173.410000 X-RAY EXAM L-S SPINE BENDING Each 709.000000 212.700000 45.000000 129.910000 CT NECK SPINE W/O DYE Each 2099.000000 629.700000 103.470000 215.000000 CT CHEST SPINE W/O DYE Each 1457.000000 437.100000 83.332000 215.000000 CT CHEST SPINE W/DYE Each 1910.000000 573.000000 126.160000 281.930000 CT LUMBAR SPINE W/O DYE Each 1698.000000 509.400000 77.600000 215.000000 CT LUMBAR SPINE W/DYE Each 2099.000000 629.700000 352.490000 413.120000 MRI NECK SPINE W/O DYE Each 3079.000000 923.700000 203.935000 1121.000000 MRI CHEST SPINE W/O DYE Each 2769.000000 830.700000 208.750000 1121.000000 MRI LUMBAR SPINE W/O DYE Each 3205.000000 961.500000 208.750000 1069.000000 MRI NECK SPINE W/O & W/DYE Each 4334.000000 1300.200000 264.370000 578.000000 MRI CHEST SPINE W/O & W/DYE Each 3940.000000 1182.000000 264.370000 352.490000 MRI LUMBAR SPINE W/O & W/DYE Each 4423.000000 1326.900000 352.490000 957.805000 X-RAY EXAM OF PELVIS Each 314.000000 94.200000 21.000000 129.910000 CT ANGIOGRAPH PELV W/O&W/DYE Each 2193.000000 657.900000 294.710000 294.710000 CT PELVIS W/O DYE Each 1665.000000 499.500000 100.400000 129.910000 CT PELVIS W/DYE Each 1707.000000 512.100000 168.210000 309.620000 CT PELVIS W/O & W/DYE Each 2299.000000 689.700000 168.210000 211.190000 MRI PELVIS W/O DYE Each 2786.000000 835.800000 270.090000 431.290000 MRI PELVIS W/O & W/DYE Each 3179.000000 953.700000 342.050000 1048.000000 X-RAY EXAM SI JOINTS 3/> VWS Each 314.000000 94.200000 103.470000 103.470000 X-RAY EXAM SACRUM TAILBONE Each 247.000000 74.100000 17.000000 73.670000 X-RAY EXAM OF COLLAR BONE Each 225.000000 67.500000 15.000000 73.670000 X-RAY EXAM OF SHOULDER BLADE Each 244.290000 73.287000 18.000000 18.000000 X-RAY EXAM OF SHOULDER Each 207.000000 62.100000 13.000000 13.000000 X-RAY EXAM OF SHOULDER Each 245.000000 73.500000 20.000000 183.750000 CONTRAST X-RAY OF SHOULDER Each 663.000000 198.900000 352.490000 442.550000 X-RAY EXAM OF HUMERUS Each 282.000000 84.600000 22.000000 92.500000 X-RAY EXAM OF ELBOW Each 247.000000 74.100000 18.000000 73.670000 X-RAY EXAM OF ELBOW Each 254.000000 76.200000 19.000000 100.260000 X-RAY EXAM OF FOREARM Each 225.000000 67.500000 19.000000 73.670000 X-RAY EXAM OF WRIST Each 215.000000 64.500000 43.130000 43.130000 X-RAY EXAM OF WRIST Each 249.000000 74.700000 23.000000 123.480000 X-RAY EXAM OF HAND Each 366.285714 109.885714 17.000000 103.470000 X-RAY EXAM OF HAND Each 229.000000 68.700000 25.000000 123.480000 X-RAY EXAM OF FINGER(S) Each 225.000000 67.500000 16.000000 120.520000 CT UPPER EXTREMITY W/O DYE Each 1424.000000 427.200000 100.400000 185.000000 CT UPPER EXTREMITY W/DYE Each 1412.000000 423.600000 308.430000 442.550000 MRI UPPER EXTREMITY W/O DYE Each 2504.000000 751.200000 270.090000 270.090000 MRI JOINT UPR EXTREM W/O DYE Each 2456.000000 736.800000 208.750000 1069.000000 MRI JOINT UPR EXTREM W/DYE Each 2753.750000 826.125000 514.920000 514.920000 MRI JOINT UPR EXTR W/O&W/DYE Each 3858.000000 1157.400000 342.050000 952.950000 X-RAY EXAM HIP UNI 1 VIEW Each 174.000000 52.200000 59.350000 73.670000 X-RAY EXAM HIP UNI 2-3 VIEWS Each 174.000000 52.200000 27.840000 123.480000 X-RAY EXAM HIPS BI 3-4 VIEWS Each 314.000000 94.200000 31.170000 107.180000 CONTRAST X-RAY OF HIP Each 1078.000000 323.400000 342.050000 592.250000 X-RAY EXAM OF FEMUR 2/> Each 183.180000 54.954000 21.180000 73.670000 X-RAY EXAM OF KNEE 1 OR 2 Each 280.620253 84.186076 25.000000 120.520000 X-RAY EXAM OF KNEE 3 Each 334.000000 100.200000 35.000000 123.480000 X-RAY EXAM KNEE 4 OR MORE Each 366.000000 109.800000 37.000000 103.470000 X-RAY EXAM OF LOWER LEG Each 300.000000 90.000000 25.000000 73.670000 X-RAY EXAM OF ANKLE Each 251.000000 75.300000 30.000000 73.670000 X-RAY EXAM OF ANKLE Each 311.000000 93.300000 18.000000 233.250000 X-RAY EXAM OF FOOT Each 174.000000 52.200000 23.000000 123.480000 X-RAY EXAM OF FOOT Each 311.000000 93.300000 28.000000 222.110000 X-RAY EXAM OF HEEL Each 247.000000 74.100000 13.000000 185.000000 X-RAY EXAM OF TOE(S) Each 225.000000 67.500000 13.000000 73.670000 CT LOWER EXTREMITY W/O DYE Each 1455.000000 436.500000 103.470000 182.000000 CT LOWER EXTREMITY W/DYE Each 1576.000000 472.800000 136.000000 192.180000 CT LWR EXTREMITY W/O&W/DYE Each 1920.200000 576.060000 162.000000 192.180000 CT ANGIO LWR EXTR W/O&W/DYE Each 3050.000000 915.000000 168.210000 1068.980000 MRI LOWER EXTREMITY W/O DYE Each 2430.000000 729.000000 215.120000 403.000000 MRI LWR EXTREMITY W/O&W/DYE Each 3020.000000 906.000000 342.050000 1048.000000 MRI JNT OF LWR EXTRE W/O DYE Each 2430.000000 729.000000 200.206666 1133.000000 MRI JOINT OF LWR EXTR W/DYE Each 2666.000000 799.800000 628.470000 1053.340000 MRI JOINT LWR EXTR W/O&W/DYE Each 3020.000000 906.000000 342.050000 952.950000 X-RAY EXAM ABDOMEN 1 VIEW Each 174.000000 52.200000 20.260000 130.500000 X-RAY EXAM ABDOMEN 2 VIEWS Each 314.000000 94.200000 24.260000 173.410000 X-RAY EXAM COMPLETE ABDOMEN Each 450.000000 135.000000 32.000000 103.470000 CT ABDOMEN W/O DYE Each 2050.000000 615.000000 103.470000 107.180000 CT ABDOMEN W/DYE Each 2359.000000 707.700000 163.230000 281.930000 CT ABDOMEN W/O & W/DYE Each 2913.000000 873.900000 163.230000 920.000000 CT ANGIO ABD&PELV W/O&W/DYE Each 1398.000000 419.400000 359.150000 910.000000 CT ANGIO ABDOM W/O & W/DYE Each 2207.000000 662.100000 126.160000 328.150000 CT ABD & PELVIS W/O CONTRAST Each 3715.000000 1114.500000 55.640000 787.000000 CT ABD & PELV W/CONTRAST Each 4066.000000 1219.800000 206.270000 920.000000 CT ABD & PELV 1/> REGNS Each 5212.000000 1563.600000 228.550000 1103.596153 MRI ABDOMEN W/O DYE Each 3687.000000 1106.100000 208.750000 3326.450000 MRI ABDOMEN W/O & W/DYE Each 2918.000000 875.400000 352.490000 955.200000 X-RAY XM ESOPHAGUS 1CNTRST Each 564.000000 169.200000 36.000000 309.620000 X-RAY XM ESOPHAGUS 2CNTRST Each 509.000000 152.700000 163.230000 371.570000 X-RAY XM SWLNG FUNCJ C+ Each 318.000000 95.400000 29.000000 211.190000 X-RAY XM UPR GI TRC 1CNTRST Each 509.000000 152.700000 168.210000 281.930000 X-RAY XM UPR GI TRC 2CNTRST Each 509.000000 152.700000 41.000000 381.750000 X-RAY SM INT F-THRU STD Each 105.000000 31.500000 42.880000 42.880000 X-RAY XM SM INT 1CNTRST STD Each 687.000000 206.100000 35.000000 275.160000 X-RAY XM COLON 2CNTRST STD Each 801.000000 240.300000 168.210000 168.210000 X-RAY BILE DUCTS/PANCREAS Each 712.000000 213.600000 24.000000 24.000000 CONTRST X-RAY URINARY TRACT Each 1078.000000 323.400000 74.000000 74.000000 CONTRAST X-RAY BLADDER Each 1078.000000 323.400000 352.490000 352.490000 X-RAY FEMALE GENITAL TRACT Each 732.000000 219.600000 292.770000 292.770000 CT ANGIO ABDOMINAL ARTERIES Each 2901.500000 870.450000 163.230000 281.930000 ABSCESS DRAINAGE UNDER X-RAY Each 836.000000 250.800000 55.520000 56.940000 FLUOROSCOPY <1 HR PHYS/QHP Each 644.000000 193.200000 194.140000 436.220000 X-RAY NOSE TO RECTUM Each 175.000000 52.500000 7.200000 7.200000 X-RAY EXAM OF FISTULA Each 1390.000000 417.000000 431.390000 745.090000 US EXAM OF HEAD AND NECK Each 495.000000 148.500000 54.000000 371.250000 US EXAM CHEST Each 483.000000 144.900000 23.000000 173.410000 ULTRASOUND BREAST COMPLETE Each 217.000000 65.100000 63.400000 103.470000 ULTRASOUND BREAST LIMITED Each 217.000000 65.100000 48.500000 162.750000 US EXAM ABDOM COMPLETE Each 906.000000 271.800000 56.000000 661.380000 ECHO EXAM OF ABDOMEN Each 725.000000 217.500000 20.000000 543.750000 US ABDL AORTA SCREEN AAA Each 314.000000 94.200000 100.400000 129.910000 US EXAM ABDO BACK WALL COMP Each 677.000000 203.100000 44.000000 494.210000 US EXAM SPINAL CANAL Each 473.000000 141.900000 32.000000 103.470000 OB US < 14 WKS SINGLE FETUS Each 342.000000 102.600000 42.750000 107.180000 OB US >= 14 WKS SNGL FETUS Each 483.000000 144.900000 56.000000 362.250000 OB US >= 14 WKS ADDL FETUS Each 316.000000 94.800000 64.000000 64.000000 OB US DETAILED SNGL FETUS Each 644.000000 193.200000 145.140000 360.550000 OB US LIMITED FETUS(S) Each 473.000000 141.900000 26.000000 354.750000 OB US FOLLOW-UP PER FETUS Each 323.000000 96.900000 26.000000 173.410000 TRANSVAGINAL US OBSTETRIC Each 694.000000 208.200000 58.500000 107.180000 FETAL BIOPHYS PROFIL W/O NST Each 625.000000 187.500000 63.010000 107.180000 TRANSVAGINAL US NON-OB Each 694.000000 208.200000 68.000000 520.500000 US EXAM PELVIC COMPLETE Each 616.000000 184.800000 40.000000 273.050000 US EXAM PELVIC LIMITED Each 446.000000 133.800000 24.000000 178.470000 US EXAM SCROTUM Each 706.000000 211.800000 31.000000 529.500000 US TRANSRECTAL Each 314.000000 94.200000 119.220000 119.220000 US COMPL JOINT R-T W/IMG Each 431.000000 129.300000 102.340000 173.410000 US LMTD JT/NONVASC XTR STRUX Each 314.000000 94.200000 11.990000 224.250000 ECHO GUIDE FOR BIOPSY Each 619.000000 185.700000 169.800000 315.910000 CT SCAN FOR NEEDLE BIOPSY Each 1965.850000 589.755000 68.090000 68.090000 BREAST TOMOSYNTHESIS BI Each 68.000000 20.400000 21.700000 68.000000 DX MAMMO INCL CAD UNI Each 219.740000 65.922000 81.100000 185.650000 DX MAMMO INCL CAD BI Each 280.720000 84.216000 103.420000 232.130000 SCR MAMMO BI INCL CAD Each 232.100000 69.630000 85.750000 188.860000 X-RAYS BONE SURVEY LIMITED Each 470.000000 141.000000 107.180000 107.180000 DXA BONE DENSITY AXIAL Each 380.360000 114.108000 56.780000 173.410000 DXA BONE DENSITY/PERIPHERAL Each 191.100000 57.330000 71.490000 71.490000 THYROID IMAGING W/BLOOD FLOW Each 987.000000 296.100000 195.810000 569.550000 PARATHYRD PLANAR W/WO SUBTRJ Each 987.000000 296.100000 462.470000 462.470000 HEPATOBILIARY SYSTEM IMAGING Each 987.000000 296.100000 329.760000 852.700000 HEPATOBIL SYST IMAGE W/DRUG Each 1273.000000 381.900000 346.816000 954.750000 GASTRIC EMPTYING IMAG STUDY Each 987.000000 296.100000 329.760000 426.650000 MECKELS DIVERT EXAM Each 673.560000 202.068000 322.890000 322.890000 BONE IMAGING LIMITED AREA Each 987.000000 296.100000 462.470000 462.470000 BONE IMAGING WHOLE BODY Each 1370.000000 411.000000 59.000000 596.597500 BONE IMAGING 3 PHASE Each 1471.000000 441.300000 125.000000 426.650000 HT MUSCLE IMAGE SPECT MULT Each 3435.000000 1030.500000 197.856666 2576.250000 GATED HEART PLANAR SINGLE Each 1346.000000 403.800000 421.050000 421.050000 LUNG PERFUSION IMAGING Each 987.000000 296.100000 63.000000 569.550000 LUNG VENTILAT&PERFUS IMAGING Each 1273.000000 381.900000 289.190000 433.940000 K FLOW/FUNCT IMAGE W/DRUG Each 1273.000000 381.900000 169.890000 730.240000 K FLOW/FUNCT IMAGE MULTIPLE Each 1273.000000 381.900000 169.890000 169.890000 RP LOCLZJ TUM 1 AREA 1 D IMG Each 987.000000 296.100000 336.750000 336.750000 METABOLIC PANEL IONIZED CA Each 53.000000 15.900000 14.070000 14.070000 METABOLIC PANEL TOTAL CA Each 298.000000 89.400000 8.460000 217.540000 GENERAL HEALTH PANEL Each 438.097588 131.429276 23.560000 48.670000 ELECTROLYTE PANEL Each 159.000000 47.700000 10.010000 10.010000 COMPREHEN METABOLIC PANEL Each 336.000000 100.800000 10.560000 245.280000 OBSTETRIC PANEL Each 208.000000 62.400000 36.520000 94.110000 LIPID PANEL Each 178.000000 53.400000 8.270000 129.940000 RENAL FUNCTION PANEL Each 298.000000 89.400000 8.680000 12.400000 ACUTE HEPATITIS PANEL Each 491.000000 147.300000 47.630000 358.430000 HEPATIC FUNCTION PANEL Each 283.000000 84.900000 8.170000 158.667500 ASSAY CARBAMAZEPINE TOTAL Each 144.000000 43.200000 15.300000 20.790000 ASSAY OF DIGOXIN TOTAL Each 101.000000 30.300000 18.960000 18.960000 ASSAY DIPROPYLACETIC ACD TOT Each 150.000000 45.000000 13.540000 43.900000 DRUG ASSAY EVEROLIMUS Each 294.000000 88.200000 13.730000 13.730000 DRUG SCREEN QUAN LAMOTRIGINE Each 47.000000 14.100000 18.090000 41.060000 DRUG SCRN QUAN LEVETIRACETAM Each 90.000000 27.000000 16.200000 41.060000 ASSAY OF LITHIUM Each 64.000000 19.200000 6.610000 21.410000 DRUG SCRN QUANT OXCARBAZEPIN Each 79.000000 23.700000 18.060000 18.060000 ASSAY OF PHENOBARBITAL Each 107.000000 32.100000 16.360000 16.360000 ASSAY OF PHENYTOIN TOTAL Each 144.000000 43.200000 13.250000 18.930000 ASSAY OF TACROLIMUS Each 116.000000 34.800000 13.730000 19.600000 ASSAY OF THEOPHYLLINE Each 117.000000 35.100000 20.210000 20.210000 ASSAY OF TOPIRAMATE Each 168.000000 50.400000 17.030000 17.030000 ASSAY OF VANCOMYCIN Each 127.000000 38.100000 13.540000 51.620000 DRUG SCREEN QUANT ZONISAMIDE Each 75.000000 22.500000 18.090000 18.090000 QUANTITATIVE ASSAY DRUG Each 204.000000 61.200000 19.110000 19.110000 DRUG TEST PRSMV CHEM ANLYZR Each 504.000000 151.200000 67.880000 142.530000 DRUG SCREEN QUANTALCOHOLS Each 128.000000 38.400000 15.080000 21.250000 ALCOHOLS BIOMARKERS 1OR 2 Each 304.000000 91.200000 21.250000 21.250000 ALKALOIDS NOS Each 127.000000 38.100000 64.250000 64.250000 ANALGESICS NON-OPIOID 1 OR 2 Each 124.415725 37.324718 10.780000 38.540000 ANTIPSYCHOTICS NOS 1-3 Each 239.000000 71.700000 53.690000 53.690000 ACTH STIMULATION PANEL Each 362.000000 108.600000 46.560000 46.560000 URINALYSIS AUTO W/SCOPE Each 44.000000 13.200000 3.170000 33.000000 URINALYSIS AUTO W/O SCOPE Each 34.000000 10.200000 1.580000 25.500000 F5 GENE Each 185.000000 55.500000 77.330000 77.330000 UNLISTED MOLECULAR PATHOLOGY Each 300.000000 90.000000 118.780000 118.780000 ACETONE ASSAY Each 36.000000 10.800000 9.990000 10.010000 ASSAY OF ACTH Each 219.000000 65.700000 38.620000 47.200000 ASSAY OF SERUM ALBUMIN Each 46.000000 13.800000 2.090000 7.080000 UR ALBUMIN QUANTITATIVE Each 34.000000 10.200000 5.780000 7.060000 UR ALBUMIN SEMIQUANTITATIVE Each 34.000000 10.200000 6.230000 6.230000 ASSAY OF ALDOLASE Each 60.880000 18.264000 10.790000 10.790000 ASSAY OF ALDOSTERONE Each 218.000000 65.400000 40.750000 49.810000 ALPHA-1-ANTITRYPSIN TOTAL Each 71.000000 21.300000 19.180000 19.180000 ALPHA-1-ANTITRYPSIN PHENO Each 54.000000 16.200000 20.650000 20.650000 ALPHA-FETOPROTEIN SERUM Each 129.000000 38.700000 20.500000 20.500000 ASSAY OF AMMONIA Each 93.000000 27.900000 12.490000 17.810000 ASSAY OF AMYLASE Each 81.000000 24.300000 6.480000 57.700000 ASSAY OF ANDROSTENEDIONE Each 105.000000 31.500000 35.780000 35.780000 ANGIOTENSIN I ENZYME TEST Each 82.000000 24.600000 17.840000 17.840000 ASSAY OF ARSENIC Each 84.000000 25.200000 23.190000 23.190000 BILIRUBIN TOTAL Each 89.000000 26.700000 6.130000 8.130000 BILIRUBIN DIRECT Each 75.000000 22.500000 3.490000 56.250000 OCCULT BLOOD FECES Each 39.000000 11.700000 4.640000 4.640000 OCCULT BLOOD OTHER SOURCES Each 18.000000 5.400000 4.690000 5.450000 OCCULT BLD FECES 1-3 TESTS Each 39.000000 11.700000 4.230000 64.200000 VITAMIN D 25 HYDROXY Each 166.000000 49.800000 7.710000 124.500000 ASSAY OF CALCIUM Each 43.000000 12.900000 5.160000 9.830000 ASSAY OF CALCIUM Each 122.000000 36.600000 13.680000 13.680000 ASSAY THREE CATECHOLAMINES Each 135.000000 40.500000 25.250000 48.100000 ASSAY OF CERULOPLASMIN Each 57.000000 17.100000 13.120000 15.330000 CHEMILUMINESCENT ASSAY Each 240.000000 72.000000 95.020000 95.020000 ASSAY OF BLOOD CHLORIDE Each 32.000000 9.600000 5.620000 6.560000 ASSAY OF URINE CHLORIDE Each 51.000000 15.300000 5.750000 6.330000 ASSAY OF COPPER Each 55.000000 16.500000 12.410000 41.250000 CORTISOL FREE Each 142.000000 42.600000 16.710000 16.710000 TOTAL CORTISOL Each 116.000000 34.800000 16.300000 31.070000 COL CHROMOTOGRAPHY QUAL/QUAN Each 189.000000 56.700000 24.690000 35.170000 ASSAY OF CK (CPK) Each 83.000000 24.900000 6.510000 12.400000 CREATINE MB FRACTION Each 130.000000 39.000000 11.550000 16.480000 ASSAY OF CREATININE Each 53.000000 15.900000 5.120000 39.750000 ASSAY OF URINE CREATININE Each 53.000000 15.900000 5.180000 19.910000 CREATININE CLEARANCE TEST Each 60.000000 18.000000 9.460000 36.380000 ASSAY OF CRYOGLOBULIN Each 108.000000 32.400000 7.900000 7.900000 VITAMIN B-12 Each 119.000000 35.700000 5.530000 86.870000 DEHYDROEPIANDROSTERONE Each 94.000000 28.200000 30.890000 30.890000 DEHYDROEPIANDROSTERONE Each 154.000000 46.200000 27.180000 42.360000 VIT D 1 25-DIHYDROXY Each 194.000000 58.200000 9.010000 148.180000 ASSAY OF ERYTHROPOIETIN Each 108.000000 32.400000 18.790000 26.840000 ASSAY OF ESTRADIOL Each 123.000000 36.900000 27.940000 39.910000 ASSAY OF ESTROGEN Each 80.000000 24.000000 21.700000 26.520000 ASSAY OF ESTRIOL Each 106.000000 31.800000 29.560000 29.560000 ASSAY OF FERRITIN Each 108.000000 32.400000 13.630000 81.000000 ASSAY OF FETAL FIBRONECTIN Each 362.000000 108.600000 78.730000 245.400000 ASSAY OF FOLIC ACID SERUM Each 126.000000 37.800000 5.860000 94.500000 ASSAY OF GALACTOSE Each 49.000000 14.700000 11.560000 11.560000 ASSAY IGA/IGD/IGG/IGM EACH Each 99.986875 29.996063 8.240000 58.500000 ASSAY OF IGE Each 75.000000 22.500000 20.120000 52.510000 BLOOD PH Each 39.000000 11.700000 12.100000 12.100000 BLOOD GASES W/O2 SATURATION Each 419.645833 125.893750 40.520000 80.740000 GLUCOSE OTHER FLUID Each 58.000000 17.400000 4.810000 4.810000 ASSAY GLUCOSE BLOOD QUANT Each 51.000000 15.300000 3.930000 37.130000 GLUCOSE TOLERANCE TEST (GTT) Each 59.294444 17.788333 12.870000 24.530000 GTT-ADDED SAMPLES Each 26.000000 7.800000 3.920000 7.480000 GLUCOSE BLOOD TEST Each 46.000000 13.800000 3.280000 196.696666 ASSAY OF GGT Each 91.000000 27.300000 8.800000 10.280000 ASSAY OF GONADOTROPIN (FSH) Each 82.000000 24.600000 18.580000 35.410000 ASSAY OF GONADOTROPIN (LH) Each 94.000000 28.200000 18.520000 35.280000 ASSAY GROWTH HORMONE (HGH) Each 71.000000 21.300000 31.780000 31.780000 ASSAY OF HAPTOGLOBIN QUANT Each 73.000000 21.900000 12.580000 13.970000 HEMOGLOBIN CHROMOTOGRAPHY Each 79.000000 23.700000 22.070000 25.790000 GLYCOSYLATED HEMOGLOBIN TEST Each 53.000000 15.900000 2.460000 39.750000 ASSAY OF HOMOCYSTINE Each 202.000000 60.600000 17.920000 17.920000 ASSAY OF 5-HIAA Each 77.000000 23.100000 12.900000 12.900000 ASSAY OF PROGESTERONE 17-D Each 101.000000 30.300000 33.210000 51.760000 IMMUNOASSAY NONANTIBODY Each 116.007555 34.802267 12.810000 21.980000 IMMUNOASSAY QUANT NOS NONAB Each 129.800000 38.940000 18.490000 130.660000 ASSAY OF INSULIN Each 99.000000 29.700000 13.970000 37.090000 ASSAY OF IRON Each 79.000000 23.700000 3.670000 57.670000 IRON BINDING TEST Each 68.000000 20.400000 3.160000 51.000000 ASSAY OF LACTIC ACID Each 104.000000 31.200000 13.060000 15.250000 LACTATE (LD) (LDH) ENZYME Each 66.000000 19.800000 6.710000 8.630000 ASSAY OF LEAD Each 59.000000 17.700000 12.110000 39.230000 ASSAY OF LIPASE Each 82.000000 24.600000 6.890000 58.250000 ASSAY OF MAGNESIUM Each 79.000000 23.700000 6.700000 57.670000 MASS SPECTROMETRY QUAL/QUAN Each 153.000000 45.900000 24.710000 24.710000 ASSAY OF MERCURY Each 62.000000 18.600000 19.870000 19.870000 ASSAY OF METANEPHRINES Each 263.000000 78.900000 16.940000 28.700000 ASSAY OF MYOGLOBIN Each 145.000000 43.500000 12.920000 18.430000 ASSAY OF NATRIURETIC PEPTIDE Each 216.000000 64.800000 39.260000 57.320000 ORGANIC ACID SINGLE QUANT Each 116.000000 34.800000 21.210000 21.210000 ASSAY OF BLOOD OSMOLALITY Each 61.000000 18.300000 9.430000 9.430000 ASSAY OF PARATHORMONE Each 182.000000 54.600000 41.280000 158.910000 ASSAY ALKALINE PHOSPHATASE Each 72.000000 21.600000 7.390000 7.390000 ASSAY OF PHOSPHORUS Each 44.000000 13.200000 4.740000 18.280000 EVAL AMNIOTIC FLUID PROTEIN Each 238.000000 71.400000 90.640000 100.560000 ASSAY OF SERUM POTASSIUM Each 46.000000 13.800000 4.760000 6.560000 ASSAY OF URINE POTASSIUM Each 42.000000 12.600000 4.730000 5.270000 ASSAY OF PREALBUMIN Each 102.000000 30.600000 15.320000 27.780000 ASSAY OF 17-HYDROXYPREGNENO Each 271.000000 81.300000 27.870000 27.870000 ASSAY OF PROGESTERONE Each 92.000000 27.600000 20.860000 25.500000 PROCALCITONIN (PCT) Each 97.000000 29.100000 28.690000 51.030000 ASSAY OF PROLACTIN Each 69.000000 20.700000 19.380000 62.810000 ASSAY OF PSA TOTAL Each 129.000000 38.700000 18.390000 96.750000 ASSAY OF PROTEIN SERUM Each 36.000000 10.800000 5.230000 5.230000 ASSAY OF PROTEIN URINE Each 43.000000 12.900000 3.670000 6.180000 ASSAY OF PROTEIN OTHER Each 37.000000 11.100000 4.480000 4.480000 PROTEIN E-PHORESIS SERUM Each 89.000000 26.700000 10.740000 13.120000 PROTEIN E-PHORESIS/URINE/CSF Each 66.000000 19.800000 21.790000 27.750000 ASSAY OF VITAMIN B-6 Each 258.000000 77.400000 34.340000 34.340000 ASSAY OF RENIN Each 198.000000 59.400000 26.880000 26.880000 ASSAY OF SELENIUM Each 173.000000 51.900000 31.210000 31.210000 ASSAY OF SERUM SODIUM Each 38.000000 11.400000 4.810000 6.870000 ASSAY OF URINE SODIUM Each 38.000000 11.400000 5.060000 5.940000 ASSAY OF SOMATOMEDIN Each 81.000000 24.300000 21.260000 40.500000 SPECTROPHOTOMETRY Each 145.000000 43.500000 9.430000 9.430000 ASSAY OF FREE TESTOSTERONE Each 268.000000 80.400000 25.470000 201.000000 ASSAY OF TOTAL TESTOSTERONE Each 124.500000 37.350000 25.810000 96.750000 ASSAY OF VITAMIN B-1 Each 133.000000 39.900000 15.510000 97.090000 ASSAY OF THYROGLOBULIN Each 71.000000 21.300000 16.060000 16.060000 ASSAY OF TOTAL THYROXINE Each 26.000000 7.800000 1.210000 11.870000 ASSAY OF FREE THYROXINE Each 100.000000 30.000000 4.650000 73.000000 ASSAY THYROID STIM HORMONE Each 157.000000 47.100000 7.300000 114.610000 TRANSFERASE (AST) (SGOT) Each 60.000000 18.000000 6.330000 16.750000 ALANINE AMINO (ALT) (SGPT) Each 59.000000 17.700000 6.480000 17.160000 ASSAY OF TRANSFERRIN Each 56.000000 16.800000 42.000000 42.000000 ASSAY OF TRIGLYCERIDES Each 70.000000 21.000000 5.740000 9.310000 ASSAY TRIIODOTHYRONINE (T3) Each 105.000000 31.500000 14.180000 27.010000 FREE ASSAY (FT-3) Each 75.000000 22.500000 3.490000 65.220000 ASSAY OF TROPONIN QUANT Each 147.000000 44.100000 12.470000 18.750000 ASSAY OF UREA NITROGEN Each 47.000000 14.100000 3.950000 7.520000 ASSAY OF BLOOD/URIC ACID Each 56.000000 16.800000 4.520000 17.410000 ASSAY OF URINE VMA Each 83.000000 24.900000 15.500000 22.130000 ASSAY OF ZINC Each 50.000000 15.000000 11.390000 37.500000 CHORIONIC GONADOTROPIN TEST Each 82.000000 24.600000 11.540000 21.970000 CHORIONIC GONADOTROPIN ASSAY Each 111.000000 33.300000 9.200000 83.250000 HEMATOCRIT Each 23.000000 6.900000 2.370000 17.250000 HEMOGLOBIN Each 32.000000 9.600000 2.370000 24.000000 COMPLETE CBC W/AUTO DIFF WBC Each 76.000000 22.800000 3.530000 55.480000 COMPLETE CBC AUTOMATED Each 60.000000 18.000000 6.470000 24.700000 AUTOMATED RETICULOCYTE COUNT Each 34.000000 10.200000 3.990000 4.880000 AUTOMATED LEUKOCYTE COUNT Each 25.000000 7.500000 3.100000 3.100000 AUTOMATED PLATELET COUNT Each 57.714000 17.314200 4.970000 14.190000 CLOT INHIBIT PROT C ACTIVITY Each 179.000000 53.700000 16.910000 16.910000 CLOT INHIBIT PROT S FREE Each 215.000000 64.500000 18.730000 18.730000 FIBRIN DEGRADATION QUANT Each 126.000000 37.800000 10.180000 16.510000 FIBRINOGEN ANTIGEN Each 44.000000 13.200000 12.130000 14.820000 MURAMIDASE Each 69.000000 20.700000 22.910000 22.910000 PROTHROMBIN TIME Each 49.000000 14.700000 4.290000 12.730000 RUSSELL VIPER VENOM DILUTED Each 84.000000 25.200000 11.700000 22.200000 RBC SED RATE NONAUTOMATED Each 47.000000 14.100000 4.270000 35.250000 THROMBOPLASTIN TIME PARTIAL Each 76.000000 22.800000 7.000000 23.130000 AGGLUTININS FEBRILE ANTIGEN Each 80.000000 24.000000 2.260000 11.330000 ALLG SPEC IGE CRUDE XTRC EA Each 51.864210 15.559263 5.800000 14.250000 WBC ANTIBODY IDENTIFICATION Each 110.000000 33.000000 18.400000 18.400000 ANTINUCLEAR ANTIBODIES Each 79.000000 23.700000 12.090000 59.250000 ANTINUCLEAR ANTIBODIES (ANA) Each 49.000000 14.700000 11.160000 42.980000 ANTISTREPTOLYSIN O TITER Each 44.000000 13.200000 7.300000 33.000000 C-REACTIVE PROTEIN Each 100.000000 30.000000 5.180000 75.000000 BETA-2 GLYCOPROTEIN ANTIBODY Each 158.000000 47.400000 28.280000 28.280000 CARDIOLIPIN ANTIBODY EA IG Each 141.250000 42.375000 28.280000 36.330000 COLD AGGLUTININ SCREEN Each 131.000000 39.300000 8.270000 8.270000 COMPLEMENT ANTIGEN Each 123.750000 37.125000 13.330000 24.000000 COMPLEMENT TOTAL (CH50) Each 105.000000 31.500000 24.840000 24.840000 CCP ANTIBODY Each 132.000000 39.600000 12.950000 18.690000 DEOXYRIBONUCLEASE ANTIBODY Each 47.000000 14.100000 13.250000 39.500000 DNA ANTIBODY NATIVE Each 77.000000 23.100000 13.740000 26.170000 NUCLEAR ANTIGEN ANTIBODY Each 106.000000 31.800000 18.825000 35.860000 FLUORESCENT ANTIBODY SCREEN Each 94.000000 28.200000 13.390000 17.220000 HETEROPHILE ANTIBODY SCREEN Each 28.000000 8.400000 6.330000 7.390000 IMMUNOASSAY INFECTIOUS AGENT Each 191.583333 57.475000 18.320000 28.560000 IMMUNOFIX E-PHORESIS SERUM Each 84.000000 25.200000 22.340000 42.570000 IMMUNFIX E-PHORSIS/URINE/CSF Each 250.986666 75.296000 29.350000 55.920000 T CELL ABSOLUTE COUNT/RATIO Each 158.000000 47.400000 57.420000 57.420000 MICROSOMAL ANTIBODY EACH Each 79.000000 23.700000 14.550000 27.720000 PARTICLE AGGLUT ANTBDY SCRN Each 47.050000 14.115000 11.540000 12.690000 RHEUMATOID FACTOR TEST QUAL Each 66.000000 19.800000 6.140000 49.500000 TB TEST CELL IMMUN MEASURE Each 230.000000 69.000000 61.980000 167.900000 SYPHILIS TEST NON-TREP QUAL Each 49.000000 14.700000 4.270000 5.900000 BARTONELLA ANTIBODY Each 80.675092 24.202528 12.440000 41.437500 LYME DISEASE ANTIBODY Each 166.500000 49.950000 18.930000 22.110000 LYME DISEASE ANTIBODY Each 76.000000 22.800000 17.030000 57.000000 Q FEVER ANTIBODY Each 45.000000 13.500000 14.820000 14.820000 CMV ANTIBODY Each 270.000000 81.000000 14.390000 202.500000 CMV ANTIBODY IGM Each 74.000000 22.200000 16.850000 55.500000 DIPHTHERIA ANTIBODY Each 55.000000 16.500000 21.720000 21.720000 ENTEROVIRUS ANTIBODY Each 123.142000 36.942600 13.030000 156.360000 EPSTEIN-BARR NUCLEAR ANTIGEN Each 67.000000 20.100000 15.290000 50.250000 EPSTEIN-BARR CAPSID VCA Each 86.000000 25.800000 18.140000 64.500000 EHRLICHIA ANTIBODY Each 121.500000 36.450000 12.440000 16.510000 HERPES SIMPLEX TYPE 1 TEST Each 45.092857 13.527857 13.190000 30.760000 HERPES SIMPLEX TYPE 2 TEST Each 86.000000 25.800000 19.350000 64.500000 HEP B CORE ANTIBODY TOTAL Each 94.000000 28.200000 17.220000 22.960000 HEP B CORE ANTIBODY IGM Each 80.000000 24.000000 14.390000 22.440000 JOHN CUNNINGHAM ANTIBODY Each 2848.250000 854.475000 16.890000 18.210000 MYCOPLASMA ANTIBODY Each 47.000000 14.100000 13.240000 42.950000 PARVOVIRUS ANTIBODY Each 67.500000 20.250000 16.700000 50.625000 PROTOZOA ANTIBODY NOS Each 46.000000 13.800000 15.140000 40.155000 RICKETTSIA ANTIBODY Each 71.000000 21.300000 23.660000 31.400000 RUBELLA ANTIBODY Each 69.000000 20.700000 20.550000 20.550000 TETANUS ANTIBODY Each 67.000000 20.100000 21.130000 21.130000 TREPONEMA PALLIDUM Each 78.000000 23.400000 16.180000 25.160000 VIRUS ANTIBODY NOS Each 107.800000 32.340000 14.310000 78.750000 THYROGLOBULIN ANTIBODY Each 70.000000 21.000000 15.910000 22.710000 HEPATITIS C AB TEST Each 123.000000 36.900000 14.270000 27.190000 HLA TYPING A B OR C Each 114.000000 34.200000 31.540000 31.540000 RBC ANTIBODY SCREEN Each 105.000000 31.500000 45.010000 47.870000 RBC ANTIBODY ELUTION Each 236.000000 70.800000 130.550000 135.880000 RBC ANTIBODY IDENTIFICATION Each 475.000000 142.500000 88.853333 257.840000 COOMBS TEST DIRECT Each 36.000000 10.800000 30.160000 30.420000 COOMBS TEST INDIRECT QUAL Each 133.000000 39.900000 8.160000 134.770000 BLOOD TYPING SEROLOGIC ABO Each 66.000000 19.800000 4.260000 126.360000 BLOOD TYPING SEROLOGIC RH(D) Each 66.000000 19.800000 21.580000 79.450000 BLOOD TYPE ANTIGEN DONOR EA Each 214.461538 64.338461 204.000000 204.000000 COMPATIBILITY TEST SPIN Each 133.000000 39.900000 34.000000 130.550000 COMPATIBILITY TEST INCUBATE Each 133.000000 39.900000 22.260000 130.550000 COMPATIBILITY TEST ANTIGLOB Each 190.105263 57.031579 47.500000 130.550000 PLASMA FRESH FROZEN Each 223.000000 66.900000 140.100000 140.100000 HEMOLYSINS/AGGLUTININS AUTO Each 36.000000 10.800000 10.020000 10.020000 RBC PRETX INCUBATJ W/CHEMICL Each 100.000000 30.000000 30.160000 30.420000 BLOOD CULTURE FOR BACTERIA Each 126.000000 37.800000 10.320000 14.750000 FECES CULTURE AEROBIC BACT Each 92.000000 27.600000 9.440000 69.000000 STOOL CULTR AEROBIC BACT EA Each 27.200000 8.160000 3.370000 23.600000 CULTURE OTHR SPECIMN AEROBIC Each 118.000000 35.400000 8.620000 16.410000 CULTR BACTERIA EXCEPT BLOOD Each 132.000000 39.600000 9.470000 16.660000 CULTURE ANAEROBE IDENT EACH Each 111.000000 33.300000 9.870000 11.530000 CULTURE AEROBIC IDENTIFY Each 65.000000 19.500000 8.080000 47.450000 CULTURE SCREEN ONLY Each 34.000000 10.200000 9.470000 9.470000 URINE CULTURE/COLONY COUNT Each 75.000000 22.500000 6.566666 56.250000 URINE BACTERIA CULTURE Each 85.000000 25.500000 8.090000 62.050000 FUNGUS ISOLATION CULTURE Each 79.000000 23.700000 9.340000 10.270000 DNA/RNA AMPLIFIED PROBE Each 125.000000 37.500000 51.950000 51.950000 OVA AND PARASITES SMEARS Each 55.000000 16.500000 8.900000 41.250000 MICROBE SUSCEPTIBLE DIFFUSE Each 77.444444 23.233333 4.750000 45.990000 MICROBE SUSCEPTIBLE MIC Each 67.000000 20.100000 8.240000 10.990000 SMEAR GRAM STAIN Each 44.000000 13.200000 4.270000 8.130000 SMEAR FLUORESCENT/ACID STAI Each 59.000000 17.700000 5.990000 6.590000 SMEAR COMPLEX STAIN Each 49.000000 14.700000 17.980000 58.910000 SMEAR WET MOUNT SALINE/INK Each 29.000000 8.700000 5.970000 6.100000 CLOSTRIDIUM AG IA Each 32.280000 9.684000 11.980000 24.210000 CRYPTOSPORIDIUM AG IA Each 53.000000 15.900000 12.870000 39.750000 GIARDIA AG IA Each 53.000000 15.900000 11.980000 39.750000 E COLI 0157 AG IA Each 98.000000 29.400000 12.660000 14.650000 ENTAMOEB HIST GROUP AG IA Each 92.000000 27.600000 12.870000 12.870000 HPYLORI STOOL IA Each 105.000000 31.500000 14.380000 17.580000 HEPATITIS B SURFACE AG IA Each 78.000000 23.400000 12.630000 19.680000 HIV-1 AG W/HIV-1 & HIV-2 AB Each 143.000000 42.900000 29.430000 34.120000 ROTAVIRUS AG IA Each 82.000000 24.600000 11.980000 61.500000 AG DETECT NOS IA MULT Each 32.280000 9.684000 11.980000 24.210000 CHYLMD TRACH DNA AMP PROBE Each 154.000000 46.200000 42.890000 50.120000 CYTOMEG DNA QUANT Each 185.000000 55.500000 42.840000 52.360000 INFLUENZA DNA AMP PROBE Each 276.000000 82.800000 105.380000 162.120000 HEPATITIS B DNA QUANT Each 250.000000 75.000000 52.360000 52.360000 HEPATITIS C PROBE&RVRS TRNSC Each 318.000000 95.400000 42.890000 42.890000 HEPATITIS C REVRS TRNSCRPJ Each 279.000000 83.700000 42.840000 81.610000 HSV DNA AMP PROBE Each 260.000000 78.000000 50.120000 50.120000 HIV-1 QUANT&REVRSE TRNSCRPJ Each 375.000000 112.500000 85.100000 85.100000 N.GONORRHOEAE DNA AMP PROB Each 154.000000 46.200000 42.890000 50.120000 SARS-COV-2 COVID-19 AMP PRB Each 217.000000 65.100000 37.580000 111.844782 STAPH A DNA AMP PROBE Each 125.000000 37.500000 18.470000 50.670000 MR-STAPH DNA AMP PROBE Each 125.000000 37.500000 18.470000 50.670000 TRICHOMONAS VAGINALIS AMPLIF Each 114.000000 34.200000 42.890000 47.870000 DETECT AGENT NOS DNA AMP Each 236.000000 70.800000 42.890000 50.120000 DETECT AGNT MULT DNA AMPLI Each 325.000000 97.500000 50.120000 85.790000 RSV ASSAY W/OPTIC Each 85.000000 25.500000 13.010000 14.650000 STREP A ASSAY W/OPTIC Each 95.000000 28.500000 12.870000 17.160000 AGENT NOS ASSAY W/OPTIC Each 130.000000 39.000000 12.870000 97.500000 GENOTYPE DNA/RNA HEP C Each 927.000000 278.100000 314.660000 314.660000 SURGICAL PATH GROSS Each 27.000000 8.100000 9.000000 9.000000 TISSUE EXAM BY PATHOLOGIST Each 42.000000 12.600000 20.880000 20.880000 TISSUE EXAM BY PATHOLOGIST Each 90.000000 27.000000 22.000000 22.000000 TISSUE EXAM BY PATHOLOGIST Each 90.000000 27.000000 28.000000 28.000000 TISSUE EXAM BY PATHOLOGIST Each 141.000000 42.300000 53.000000 120.310000 DECALCIFY TISSUE Each 27.000000 8.100000 13.000000 13.000000 SPECIAL STAINS GROUP 2 Each 42.500000 12.750000 7.000000 7.000000 IMMUNOHISTO ANTB ADDL SLIDE Each 90.000000 27.000000 40.260000 40.260000 IMMUNOHISTO ANTB 1ST STAIN Each 90.000000 27.000000 39.600000 39.600000 IMMUNOFLUOR ANTB 1ST STAIN Each 79.000000 23.700000 29.700000 438.480000 IMMUNOFLUOR ANTB ADDL STAIN Each 75.000000 22.500000 29.690000 29.690000 BODY FLUID CELL COUNT Each 32.000000 9.600000 5.780000 5.780000 BODY FLUID CELL COUNT Each 54.000000 16.200000 5.600000 10.490000 LEUKOCYTE ASSESSMENT FECAL Each 23.000000 6.900000 4.270000 17.250000 EXAM SYNOVIAL FLUID CRYSTALS Each 43.000000 12.900000 7.330000 8.750000 IMMUNIZATION ADMIN Each 167.000000 50.100000 13.140000 55.820000 IIV3 VACC NO PRSV 0.5 ML IM Each 56.000000 16.800000 13.120000 13.120000 IIV4 VACC NO PRSV 0.5 ML IM Each 70.558333 21.167500 15.925000 24.900000 TD VACC NO PRESV 7 YRS+ IM Each 87.110000 26.133000 14.000000 33.030000 TDAP VACCINE 7 YRS/> IM Each 155.940000 46.782000 28.800000 39.130000 PPSV23 VACC 2 YRS+ SUBQ/IM Each 249.350000 74.805000 39.150000 39.150000 SPEECH/HEARING THERAPY Each 197.000000 59.100000 73.790000 78.560000 EVALUATE SPEECH PRODUCTION Each 229.000000 68.700000 87.880000 87.880000 SPEECH SOUND LANG COMPREHEN Each 488.000000 146.400000 49.440000 194.240000 BEHAVRAL QUALIT ANALYS VOICE Each 236.000000 70.800000 88.450000 88.450000 ORAL FUNCTION THERAPY Each 214.000000 64.200000 80.520000 120.790000 EVALUATE SWALLOWING FUNCTION Each 213.000000 63.900000 70.290000 120.410000 MOTION FLUOROSCOPY/SWALLOW Each 224.000000 67.200000 46.870000 113.880000 PRQ CARDIAC ANGIOPLAST 1 ART Each 16887.270000 5066.181000 320.000000 4437.610000 PRQ CARD STENT W/ANGIO 1 VSL Each 27011.000000 8103.300000 320.000000 11057.500000 HEART/LUNG RESUSCITATION CPR Each 803.000000 240.900000 247.000000 247.000000 CARDIOVERSION ELECTRIC EXT Each 1471.000000 441.300000 524.000000 829.990000 ELECTROCARDIOGRAM TRACING Each 156.000000 46.800000 17.000000 117.000000 CARDIOVASCULAR STRESS TEST Each 705.000000 211.500000 61.000000 528.750000 ECG MONIT/REPRT UP TO 48 HRS Each 297.000000 89.100000 44.000000 164.640000 REMOTE 30 DAY ECG REV/REPORT Each 289.000000 86.700000 33.460000 56.090000 TTE W/DOPPLER COMPLETE Each 1975.000000 592.500000 257.510000 956.320000 ECHO TRANSESOPHAGEAL Each 1390.000000 417.000000 431.390000 444.550000 DOPPLER ECHO EXAM HEART Each 646.000000 193.800000 30.570000 646.000000 DOPPLER COLOR FLOW ADD-ON Each 783.000000 234.900000 16.000000 740.600000 STRESS TTE COMPLETE Each 1390.000000 417.000000 218.530000 1042.500000 RIGHT HEART CATH Each 7911.000000 2373.300000 4409.340000 4409.340000 CORONARY ARTERY ANGIO S&I Each 8672.110000 2601.633000 135.870000 4409.340000 CORONARY ART/GRFT ANGIO S&I Each 10555.090000 3166.527000 156.710000 2552.930000 R HRT CORONARY ARTERY ANGIO Each 16112.000000 4833.600000 4190.000000 4190.000000 L HRT ARTERY/VENTRICLE ANGIO Each 9911.000000 2973.300000 165.640000 9159.640000 EXTRACRANIAL BILAT STUDY Each 966.000000 289.800000 70.000000 419.260000 UPR/LXTR ART STDY 3+ LVLS Each 481.000000 144.300000 123.930000 214.050000 LWR XTR VASC STDY BILAT Each 548.000000 164.400000 130.130000 130.130000 LOWER EXTREMITY STUDY Each 691.000000 207.300000 73.000000 360.550000 LOWER EXTREMITY STUDY Each 484.000000 145.200000 100.400000 173.410000 EXTREMITY STUDY Each 845.000000 253.500000 42.000000 360.550000 EXTREMITY STUDY Each 640.000000 192.000000 73.000000 476.250000 DUP-SCAN HEMO COMPL BI STD Each 651.000000 195.300000 208.750000 215.120000 VENT MGMT INPAT INIT DAY Each 1425.000000 427.500000 428.810000 428.810000 VENT MGMT INPAT SUBQ DAY Each 1425.000000 427.500000 651.170000 651.170000 BREATHING CAPACITY TEST Each 380.000000 114.000000 24.000000 214.050000 EVALUATION OF WHEEZING Each 705.000000 211.500000 39.000000 391.590000 AIRWAY INHALATION TREATMENT Each 176.000000 52.800000 6.000000 178.420000 POS AIRWAY PRESSURE CPAP Each 536.000000 160.800000 536.000000 536.000000 CHEST WALL MANIPULATION Each 297.000000 89.100000 100.650000 297.000000 CHEST WALL MANIPULATION Each 297.000000 89.100000 23.000000 150.142500 PULM FUNCTION TEST BY GAS Each 380.000000 114.000000 31.890000 127.710000 CO/MEMBANE DIFFUSE CAPACITY Each 222.000000 66.600000 41.110000 64.920000 MEASURE BLOOD OXYGEN LEVEL Each 60.000000 18.000000 2.050000 58.460000 MEASURE BLOOD OXYGEN LEVEL Each 105.000000 31.500000 5.960000 105.000000 SLEEP STUDY UNATT&RESP EFFT Each 1984.000000 595.200000 123.930000 1718.710000 POLYSOM 6/> YRS 4/> PARAM Each 2549.000000 764.700000 122.000000 1406.290000 POLYSOM 6/>YRS CPAP 4/> PARM Each 2549.000000 764.700000 205.370000 1821.000000 CANALITH REPOSITIONING PROC Each 108.000000 32.400000 42.580000 42.580000 COGNITIVE TEST BY HC PRO Each 288.000000 86.400000 83.320000 153.800000 HYDRATION IV INFUSION INIT Each 523.000000 156.900000 164.590000 392.250000 HYDRATE IV INFUSION ADD-ON Each 137.000000 41.100000 34.140000 722.280000 THER/PROPH/DIAG IV INF INIT Each 570.000000 171.000000 90.580000 423.270000 THER/PROPH/DIAG IV INF ADDON Each 186.000000 55.800000 34.140000 58.960000 TX/PROPH/DG ADDL SEQ IV INF Each 291.000000 87.300000 55.820000 56.880000 THER/DIAG CONCURRENT INF Each 414.000000 124.200000 18.890000 18.890000 THER/PROPH/DIAG INJ SC/IM Each 181.000000 54.300000 48.120833 154.810000 THER/PROPH/DIAG INJ IV PUSH Each 523.000000 156.900000 169.610000 306.370000 TX/PRO/DX INJ NEW DRUG ADDON Each 196.000000 58.800000 34.140000 123.980000 TX/PRO/DX INJ SAME DRUG ADON Each 254.000000 76.200000 31.300000 496.832500 IRRIG DRUG DELIVERY DEVICE Each 194.000000 58.200000 50.780000 65.840000 MECHANICAL TRACTION THERAPY Each 40.000000 12.000000 13.345000 13.345000 ELECTRIC STIMULATION THERAPY Each 34.000000 10.200000 12.780000 22.530000 ELECTRIC CURRENT THERAPY Each 77.000000 23.100000 16.330000 133.000000 ULTRASOUND THERAPY Each 32.000000 9.600000 10.920000 14.800000 THERAPEUTIC EXERCISES Each 76.166666 22.850000 21.760000 87.975000 NEUROMUSCULAR REEDUCATION Each 86.000000 25.800000 27.620000 65.020000 GAIT TRAINING THERAPY Each 75.000000 22.500000 22.660000 60.300000 MASSAGE THERAPY Each 75.000000 22.500000 23.478333 26.430000 THER IVNTJ 1ST 15 MIN Each 72.000000 21.600000 20.360000 23.380000 THER IVNTJ EA ADDL 15 MIN Each 69.000000 20.700000 19.515000 22.350000 MANUAL THERAPY 1/> REGIONS Each 74.000000 22.200000 21.320000 88.666666 GROUP THERAPEUTIC PROCEDURES Each 45.000000 13.500000 14.620000 14.620000 PT EVAL LOW COMPLEX 20 MIN Each 206.000000 61.800000 80.830000 117.690000 PT EVAL MOD COMPLEX 30 MIN Each 206.000000 61.800000 77.390000 105.800000 PT EVAL HIGH COMPLEX 45 MIN Each 206.000000 61.800000 82.980000 105.800000 PT RE-EVAL EST PLAN CARE Each 134.000000 40.200000 55.220000 55.220000 OT EVAL LOW COMPLEX 30 MIN Each 222.000000 66.600000 71.620000 126.630000 OT EVAL MOD COMPLEX 45 MIN Each 222.000000 66.600000 87.490000 92.980000 OT EVAL HIGH COMPLEX 60 MIN Each 222.000000 66.600000 85.170000 85.170000 OT RE-EVAL EST PLAN CARE Each 150.000000 45.000000 60.300000 60.300000 THERAPEUTIC ACTIVITIES Each 98.000000 29.400000 21.760000 40.420000 SELF CARE MNGMENT TRAINING Each 102.000000 30.600000 24.370000 25.590000 RMVL DEVITAL TIS 20 CM/< Each 8863.286666 2658.986000 24.060000 263.850000 RMVL DEVITAL TIS ADDL 20CM/< Each 6389.880000 1916.964000 30.590000 30.590000 NEG PRESS WOUND TX <=50 CM Each 402.000000 120.600000 30.440000 270.340000 NEG PRESS WND TX <=50 SQ CM Each 732.000000 219.600000 299.210000 494.340000 MEDICAL NUTRITION INDIV IN Each 81.000000 24.300000 31.750000 69.200000 HYPERBARIC OXYGEN THERAPY Each 2236.000000 670.800000 250.000000 250.000000 PHLEBOTOMY Each 297.000000 89.100000 100.650000 100.650000 OFFICE/OUTPATIENT VISIT NEW Each 187.000000 56.100000 24.670000 36.463333 OFFICE/OUTPATIENT VISIT NEW Each 187.000000 56.100000 47.160000 47.160000 OFFICE/OUTPATIENT VISIT NEW Each 264.000000 79.200000 70.750000 103.180000 OFFICE/OUTPATIENT VISIT NEW Each 331.000000 99.300000 121.040000 121.040000 OFFICE/OUTPATIENT VISIT NEW Each 425.000000 127.500000 158.150000 158.150000 OFFICE/OUTPATIENT VISIT EST Each 223.000000 66.900000 21.620000 162.790000 OFFICE/OUTPATIENT VISIT EST Each 275.000000 82.500000 42.740000 42.740000 OFFICE/OUTPATIENT VISIT EST Each 328.000000 98.400000 71.270000 71.270000 OFFICE/OUTPATIENT VISIT EST Each 380.000000 114.000000 103.700000 103.850000 UNLISTED E&M SERVICE Each 65.000000 19.500000 21.620000 21.620000 HOME VISIT NOS Each 168.000000 50.400000 146.000000 146.000000 Basic support routine suppls Each 7.547058 2.264117 6.949411 6.949411 Als iv drug therapy supplies Each 117.363357 35.209007 19.290000 126.895703 Als esophageal intub suppls Each 387.080000 116.124000 387.080000 387.080000 Als routine disposble suppls Each 18.446685 5.534006 10.329135 10.329135 Ambulance 02 life sustaining Each 59.000000 17.700000 19.060000 97.000000 Ground mileage Each 20.227692 6.068308 6.630000 144.780000 Als 1 Each 1084.000000 325.200000 255.920000 1000.000000 Als1-emergency Each 1203.000000 360.900000 266.910000 1335.190000 Bls Each 840.000000 252.000000 141.250000 907.220000 Bls-emergency Each 945.000000 283.500000 176.117254 979.000000 Als 2 Each 1629.210000 488.763000 350.000000 1260.000000 Specialty care transport Each 1365.000000 409.500000 700.670000 700.670000 Ambulance response/treatment Each 98.000000 29.400000 98.000000 98.000000 Sterile saline or water Each 6.800000 2.040000 6.800000 6.800000 Betadine/phisohex solution Each 8.150000 2.445000 3.200000 3.200000 Non-waterproof tape Each 10.620000 3.186000 10.620000 10.620000 Surgical supplies Each 1.730000 0.519000 1.730000 1.730000 Solid skin barrier 8x8 Each 29.330000 8.799000 10.590000 10.590000 Non-sterile gauze<=16 sq in Each 7.300000 2.190000 7.300000 7.300000 Conform band s w>=3" <5"/yd Each 2.205000 0.661500 0.410000 0.540000 Tubular dressing Each 29.430000 8.829000 1.940000 1.940000 Tc99m sestamibi Each 104.022758 31.206827 70.660000 84.000000 Tc99m medronate Each 45.000000 13.500000 16.300000 45.000000 Tc99m disofenin Each 69.000000 20.700000 31.620000 69.000000 Iodine i-123 sod iodide mic Each 126.000000 37.800000 20.450000 28.120000 Tc99m maa Each 286.000000 85.800000 18.140000 37.620000 Tc99m sulfur colloid Each 147.000000 44.100000 52.880000 100.810000 Xe133 xenon 10mci Each 197.000000 59.100000 25.600000 197.000000 Tc99m labeled rbc Each 431.000000 129.300000 134.830000 134.830000 Tc99m oxidronate Each 91.000000 27.300000 55.180000 55.180000 Tc99m mertiatide Each 645.000000 193.500000 31.270000 645.000000 Technetium tc-99m auto wbc Each 4078.000000 1223.400000 1825.780000 1825.780000 Gad-base mr contrast nos,1ml Each 0.855303 0.256591 0.450000 5.788235 Anchor/screw bn/bn,tis/bn Each 3577.092129 1073.127639 617.487500 2774.200000 Cath, trans atherectomy, dir Each 7862.500000 2358.750000 5110.630000 5110.630000 Cath, inf, per/cent/midline Each 808.000000 242.400000 507.500000 507.500000 Guide wire Each 303.896666 91.169000 30.790000 268.895000 Rep dev, urinary, w/sling Each 1871.000000 561.300000 611.880000 611.880000 Mesh (implantable) Each 575.230000 172.569000 222.230000 222.230000 Stent, coated/cov w/del sys Each 2158.000000 647.400000 2100.000000 2100.000000 Stent, non-coa/non-cov w/del Each 391.000000 117.300000 197.730000 197.730000 Catheter, guiding Each 149.065000 44.719500 31.540000 125.530000 Intro/sheath, non-laser Each 94.578000 28.373400 12.930000 59.290000 Artiss fibrin sealant Each 306.500000 91.950000 171.260000 171.260000 Perc drug-el cor stent sing Each 24769.000000 7430.700000 8875.820000 15330.040000 Perc d-e cor revasc t cabg s Each 22482.000000 6744.600000 8875.820000 8875.820000 Cysto impl 4 or more Each 4264.555714 1279.366714 6241.205000 7588.440000 Hosp OP clin spec coll (Sars-cov-2) (cov Each 65.000000 19.500000 20.590000 47.450000 Admin influenza virus vac Each 106.000000 31.800000 34.140000 62.540000 Admin pneumococcal vaccine Each 106.000000 31.800000 34.140000 34.140000 Psa screening Each 129.000000 38.700000 19.310000 20.280000 Colorectal scrn; hi risk ind Each 2352.810000 705.843000 373.000000 1181.850000 Colon ca scrn not hi rsk ind Each 2354.710000 706.413000 621.666666 1181.850000 Hhcp-serv of ot,ea 15 min Each 156.000000 46.800000 141.020000 141.020000 Hbot, full body chamber, 30m Each 559.000000 167.700000 103.070000 103.070000 Tomosynthesis, mammo Each 68.000000 20.400000 21.700000 49.640000 Elec stim other than wound Each 34.000000 10.200000 9.780000 13.690000 Ldct for lung ca screen Each 174.000000 52.200000 71.490000 174.000000 Hhs/hospice of rn ea 15 min Each 168.000000 50.400000 145.020000 672.010000 Fecal blood scrn immunoassay Each 39.000000 11.700000 18.050000 18.050000 Hospital outpt clinic visit Each 276.634081 82.990224 71.770000 179.360000 Drug test def 1-7 classes Each 127.000000 38.100000 114.430000 114.430000 Acetylcysteine injection Each 316.462500 94.938750 1.730000 1.730000 Adenosine inj 1mg Each 6.245000 1.873500 0.720000 0.850000 Adrenalin epinephrine inject Each 23.248800 6.974640 1.030000 83.080000 Amiodarone hcl Each 2.344000 0.703200 0.770000 0.770000 Ampicillin 500 mg inj Each 14.875466 4.462640 0.894666 5.760000 Succinycholine chloride inj Each 17.520000 5.256000 0.915000 10.260000 Hydralazine hcl injection Each 37.140000 11.142000 3.950000 7.010000 Azithromycin Each 55.270000 16.581000 3.550000 3.910000 Atropine sulfate injection Each 3.439300 1.031790 0.090000 4.090000 Penicillin g benzathine inj Each 27.197500 8.159250 5.660000 17.160000 Buprenorphine hydrochloride Each 15.883333 4.765000 5.420000 5.420000 Butorphanol tartrate 1 mg Each 7.051622 2.115487 3.320000 3.320000 Calcium gluconate injection Each 3.050000 0.915000 2.480000 3.050000 Cefazolin sodium injection Each 8.586963 2.576089 0.928571 10.327500 Cefepime hcl for injection Each 10.120000 3.036000 2.040000 2.200000 Cefoxitin sodium injection Each 60.782000 18.234600 10.880000 32.522500 Ceftriaxone sodium injection Each 8.502029 2.550609 0.610000 5.114013 Betamethasone acet&sod phosp Each 50.411666 15.123500 7.480000 13.100625 Ciprofloxacin iv Each 42.735000 12.820500 12.250000 12.250000 Prochlorperazine injection Each 68.940000 20.682000 7.340000 7.340000 Inj., cosyntropin, 0.25 mg Each 363.830000 109.149000 91.200000 91.200000 Denosumab injection Each 1449.989761 434.996928 20.123000 1644.630000 Methylprednisolone 80 mg inj Each 67.125000 20.137500 8.440000 28.830000 Dexamethasone sodium phos Each 4.248038 1.274411 0.130000 16.798000 Acetazolamid sodium injectio Each 151.390000 45.417000 21.230000 21.230000 Phenytoin sodium injection Each 2.359000 0.707700 1.110000 1.110000 Hydromorphone injection Each 17.598127 5.279438 2.670000 20.160000 Diphenhydramine hcl injectio Each 9.790000 2.937000 0.810000 18.470000 Dopamine injection Each 4.374000 1.312200 0.710000 0.710000 Ertapenem injection Each 138.035000 41.410500 49.620000 49.620000 Inj tbo filgrastim 1 microg Each 2.753854 0.826156 0.770000 0.770000 Octagam injection Each 258.703000 77.610900 35.680000 46.200000 Garamycin gentamicin inj Each 13.685000 4.105500 2.210000 2.210000 Glucagon hydrochloride/1 mg Each 581.520000 174.456000 228.170000 228.170000 Haloperidol injection Each 27.060000 8.118000 1.030000 6.780000 Inj heparin sodium per 10 u Each 0.337000 0.101100 0.020000 0.266000 Inj heparin sodium per 1000u Each 14.796809 4.439043 0.290000 12.737500 Inj enoxaparin sodium Each 18.365000 5.509500 0.790000 17.660000 Hydrocortisone sodium succ i Each 26.390000 7.917000 4.940000 4.940000 Droperidol injection Each 18.860000 5.658000 2.450000 2.450000 Insulin injection Each 5.230000 1.569000 0.950000 0.950000 Ketorolac tromethamine inj Each 8.979479 2.693844 0.624712 22.110000 Furosemide injection Each 10.859479 3.257844 0.680000 3.670000 Levetiracetam injection Each 0.307400 0.092220 0.110000 0.110000 Levofloxacin injection Each 20.940000 6.282000 0.760000 18.620000 Hyoscyamine sulfate inj Each 114.695000 34.408500 36.070000 36.070000 Lidocaine injection Each 9.916684 2.975005 0.020000 10.930000 Lorazepam injection Each 12.810000 3.843000 0.790000 4.640000 Mannitol injection Each 7.200000 2.160000 2.210000 2.210000 Meperidine hydrochl /100 mg Each 18.700000 5.610000 2.190000 8.970000 Meropenem Each 11.008000 3.302400 1.020000 4.400000 Methylnaltrexone injection Each 3.281750 0.984525 0.900000 0.900000 Inj midazolam hydrochloride Each 9.883820 2.965146 0.120000 8.830000 Morphine sulfate injection Each 17.020000 5.106000 2.120000 15.120000 Inj naloxone hydrochloride Each 58.745000 17.623500 16.240000 16.240000 Octreotide injection, depot Each 631.899142 189.569743 205.878000 290.105000 Orphenadrine injection Each 69.780000 20.934000 7.440000 7.440000 Phenylephrine hcl injection Each 15.310000 4.593000 6.840000 6.940000 Ondansetron hcl injection Each 2.806154 0.841846 0.098750 5.617500 Injection, oritavancin Each 81.931375 24.579413 23.780000 23.780000 Piperacillin/tazobactam Each 19.506666 5.852000 1.910000 1.910000 Promethazine hcl injection Each 10.020000 3.006000 2.540000 6.470000 Inj, propofol, 10 mg Each 27.090000 8.127000 0.120000 40.180000 Neostigmine methylslfte inj Each 50.244500 15.073350 0.100000 44.800000 Metoclopramide hcl injection Each 9.930000 2.979000 1.410000 3.950000 Regadenoson injection Each 189.665000 56.899500 56.550000 67.770000 Rhophylac injection Each 16.933333 5.080000 5.330000 5.430000 Ropivacaine hcl injection Each 10.460000 3.138000 5.060000 5.060000 Methylprednisolone injection Each 20.240000 6.072000 4.765000 5.120000 Methylprednisolone injection Each 33.790000 10.137000 6.440000 10.850000 Alteplase recombinant Each 214.105000 64.231500 87.155000 122.992500 Fentanyl citrate injection Each 14.911918 4.473575 0.890000 12.360000 Sumatriptan succinate / 6 mg Each 87.360000 26.208000 59.360000 59.360000 Terbutaline sulfate inj Each 67.240000 20.172000 3.430000 3.430000 Triamcinolone acet inj nos Each 6.900000 2.070000 1.520000 1.780000 Diazepam injection Each 29.870000 8.961000 6.150000 10.740000 Vancomycin hcl injection Each 30.355000 9.106500 3.160000 9.400000 Thiamine hcl 100 mg Each 18.385000 5.515500 2.516666 3.150000 Inj magnesium sulfate Each 8.062804 2.418841 0.319196 1.910000 Inj potassium chloride Each 1.089312 0.326794 0.152000 0.821500 Ziprasidone mesylate Each 53.915000 16.174500 23.455000 23.455000 Zoledronic acid 1mg Each 245.526000 73.657800 11.088000 11.088000 Drugs unclassified injection Each 34.260681 10.278204 0.250000 23.910000 Normal saline solution infus Each 14.308412 4.292524 2.205000 1122.038333 Normal saline solution infus Each 15.387500 4.616250 1.450000 8.070000 5% dextrose/water Each 44.280000 13.284000 2.170000 2.170000 Ringers lactate infusion Each 11.360000 3.408000 2.670000 6.315000 Prednisone ir or dr oral 1mg Each 0.350981 0.105294 0.015384 1.460000 Methotrexate sodium inj Each 430.390000 129.117000 2.650000 2.650000 Sio flex pelvic/sacr pre ots Each 60.000000 18.000000 60.000000 60.000000 Ko immob canvas long pre ots Each 23.000000 6.900000 7.590000 12.760000 Shoe lifts tapered to one-ha Each 10.000000 3.000000 10.000000 10.000000 Shoe heel sach cushion type Each 36.000000 10.800000 36.000000 36.000000 So acro/clav can web pre ots Each 156.000000 46.800000 49.820000 49.820000 Whfo w/o joints pre ots Each 54.000000 16.200000 17.820000 17.820000 Who cock-up nonmolde pre ots Each 18.150000 5.445000 4.750000 7.095000 Prosthetic implant nos Each 5637.500000 1691.250000 369.527500 5383.300000 Rbc leukocytes reduced Each 627.000000 188.100000 171.360000 567.200000 Platelet pheres leukoreduced Each 1572.000000 471.600000 524.590000 524.590000 Plasma, frz between 8-24hour Each 330.000000 99.000000 71.980000 71.980000 Catheterize for urine spec Each 8.000000 2.400000 3.000000 3.150000 Ferumoxytol, non-esrd Each 5.126960 1.538088 0.983000 3.332529 Puraply am 1 sq cm Each 294.000000 88.200000 153.331250 153.331250 Hospice or home hlth in home Each 0.010000 0.003000 0.010000 0.010000 Hospice in hospice facility Each 891.820000 267.546000 678.540000 678.540000 Hospice/home hlth, place nos Each 0.010000 0.003000 0.010000 0.010000 Hocm <=149 mg/ml iodine, 1ml Each 0.070000 0.021000 0.070000 0.070000 Locm 300-399mg/ml iodine,1ml Each 0.310322 0.093097 0.042063 1.957142 Injection pantroprazole Each 23.740000 7.122000 3.790000 4.950000 Nursing care in home rn Each 168.000000 50.400000 55.000000 168.000000 Hospice care, in the home, p Each 174.000000 52.200000 174.000000 174.000000 Speech therapy, in the home, Each 156.000000 46.800000 143.000000 143.000000 Occupational therapy, in the Each 156.000000 46.800000 143.000000 143.000000 Pt in the home per diem Each 177.000000 53.100000 107.000000 177.000000 Covid-19 lab test non-cdc Each 227.850000 68.355000 51.310000 116.520000